F68.13

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

Billable / specific codeICD-10-CM

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.

Check F68.13 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above F68.13

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

F68.13 is named in 8 Medicare coverage policies: 7 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›physical symptoms›with psychological symptoms
Disorder›factitious›imposed on self›with predominantly›psychological symptoms›with physical symptoms

Code history

Unchanged in every release from FY2024 to FY2027.