F68.13 — Factitious disorder imposed on self, with combined psychological and physical signs and symptoms
F68.13 is a billable, specific ICD-10-CM code for factitious disorder imposed on self, with combined psychological and physical signs and symptoms. It is valid for submission on a claim.
Risk adjustment
F68.13 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.
Medicare coverage
F68.13 is named in 8 Medicare coverage policies — 7 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How F68.13 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F68.13.
- Disorder›factitious›imposed on self›with predominantly›physical symptoms›with psychological symptoms
- Disorder›factitious›imposed on self›with predominantly›psychological symptoms›with physical symptoms
Related codes at this level
Codes that share F68.1. If F68.13 is not quite right, the correct code is usually one of these.
Questions about F68.13
- Is F68.13 a billable ICD-10-CM code?
- Yes. F68.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F68.13 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Disorders of adult personality and behavior (F60-F69).