F68.A — Factitious disorder imposed on another
F68.A is a billable, specific ICD-10-CM code for factitious disorder imposed on another. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Factitious disorder by proxy
- Münchausen's by proxy
Other codes that can never be billed with F68.A
These codes carry an Excludes1 note pointing at F68.A. 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.A alone.
- Z76.5Malingerer [conscious simulation]
Risk adjustment
F68.A 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.A is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56685Billing and Coding: Partial Hospitalization Programs
- A57130Billing and Coding: Psychiatric Codes
- A57480Billing and Coding: Psychiatry and Psychology Services
- A57520Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
How F68.A 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.A.
- Disorder›factitious›by proxy
- Disorder›factitious›imposed on another
Related codes at this level
Codes that share F68. If F68.A is not quite right, the correct code is usually one of these.
Questions about F68.A
- Is F68.A a billable ICD-10-CM code?
- Yes. F68.A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F68.A sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Disorders of adult personality and behavior (F60-F69).