F68.11

F68.11: Factitious disorder imposed on self, with predominantly psychological signs and symptoms

Billable / specific codeICD-10-CM

F68.11 is a billable, specific ICD-10-CM code for factitious disorder imposed on self, with predominantly psychological signs and symptoms. It is valid for submission on a claim.

Check F68.11 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above F68.11

Not part of this code, but both may be coded when both are present.

Written on F68.1: Factitious disorder imposed on self

factitial dermatitis (L98.1)
person feigning illness (with obvious motivation) (Z76.5)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F68.11 is named in 9 Medicare coverage policies: 8 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A56756Billing and Coding: Home Health - Psychiatric Care
A56937Billing and Coding: Psychiatry and Psychology Services
A57065Billing and Coding: Outpatient Psychiatry and Psychology Services

Alphabetic index entries that lead here

Disorder›factitious›imposed on self›with predominantly›psychological symptoms

Code history

Unchanged in every release from FY2024 to FY2027.