Coding and coverage · ICD-10-CM

F68 › F68.1

F68.13 Factitious disorder imposed on self, with combined psychological and physical signs and symptoms

BillableNo payment HCCChapter 5

Instructional notes

Chapter 5

Excludes2Not included here: the patient may have both; report both when both are present.
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
  • disorders of psychological development

F68.1

Excludes2Not included here: the patient may have both; report both when both are present.
  • factitial dermatitis (L98.1)
  • person feigning illness (with obvious motivation) (Z76.5)
Inclusion terms
  • Compensation neurosis
  • Elaboration of physical symptoms for psychological reasons
  • Hospital hopper syndrome
  • Münchausen's syndrome
  • Peregrinating patient

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F60-F69 Disorders of adult personality and behavior (F60-F69)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.