6C90

ICD-11 MMS 2026-01

Oppositional defiant disorder

Description

Oppositional defiant disorder is a persistent pattern (e.g., 6 months or more) of markedly defiant, disobedient, provocative or spiteful behaviour that occurs more frequently than is typically observed in individuals of comparable age and developmental level and that is not restricted to interaction with siblings. Oppositional defiant disorder may be manifest in prevailing, persistent angry or irritable mood, often accompanied by severe temper outbursts or in headstrong, argumentative and defiant behaviour. The behaviour pattern is of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning

Exclusions from above levels

  • QE62 – Uncomplicated bereavement
  • QE84 – Acute stress reaction

Child codes

  • 6C90.0 – Oppositional defiant disorder with chronic irritability-anger
  • 6C90.1 – Oppositional defiant disorder without chronic irritability-anger
  • 6C90.Z – Oppositional defiant disorder, unspecified

Sibling codes

  • 6C91 – Conduct-dissocial disorder
  • 6C9Y – Other specified disruptive behaviour or dissocial disorders
  • 6C9Z – Disruptive behaviour or dissocial disorders, unspecified

Foundation entity

Oppositional defiant disorder – http://id.who.int/icd/entity/1487528823

Part of: 06: Mental, behavioural or neurodevelopmental disorders