F68.1 — Factitious disorder imposed on self
F68.1 is a non-billable header ICD-10-CM code for factitious disorder imposed on self. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Compensation neurosis
- Elaboration of physical symptoms for psychological reasons
- Hospital hopper syndrome
- Münchausen's syndrome
- Peregrinating patient
Other codes that can never be billed with F68.1
These codes carry an Excludes1 note pointing at F68.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F68.1 alone.
- Z76.5Malingerer [conscious simulation]
Risk adjustment
F68.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead F68.1
4 child codes. Green means billable.
- F68.10Factitious disorder imposed on self, unspecified
- F68.11Factitious disorder imposed on self, with predominantly psychological signs and symptoms
- F68.12Factitious disorder imposed on self, with predominantly physical signs and symptoms
- F68.13Factitious disorder imposed on self, with combined psychological and physical signs and symptoms
Related codes at this level
Codes that share F68. If F68.1 is not quite right, the correct code is usually one of these.
Questions about F68.1
- Is F68.1 a billable ICD-10-CM code?
- No. F68.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F68.1 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Disorders of adult personality and behavior (F60-F69).