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F68.10 ICD-10-CM Code: Factitious disorder imposed on self, unspecified

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 Excludes2
Risk adjustment
RxHCC V08 category 133

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 883 — DISORDERS OF PERSONALITY AND IMPULSE CONTROL (MDC 19)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for F68.10 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on F68.10 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from F68.1

Coder workflow for F68.10

MedCoder structured workflow — derived from this code’s own official record

Before you code F68.10

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, F68.10 may be the appropriate code. Check the record for detail that supports a more specific sibling — in this subcategory the siblings differ by the presence or absence of the associated condition. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    ReviewF68.11, F68.12, F68.13

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

Choose the right path

  1. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — F68.10 is appropriate when the documentation goes no further.

    ReviewF68.11, F68.12, F68.13

Consider F68.10. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes2 — not part of F68.10(2 notes)

    Coding workflow: The conditions named in this note are not included in F68.10. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareL98.1, Z76.5

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the specific siblings in this subcategory and what each requires the record to state.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

ReviewF68.11, F68.12, F68.13

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse F68.10 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of F68.10 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • L98.1— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of factitial dermatitis adds L98.1; it is not part of this code and both may be reported when both are documented.

    Full comparison: F68.10 vs L98.1 →

  • Z76.5— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of person feigning illness (with obvious motivation) adds Z76.5; it is not part of this code and both may be reported when both are documented.

    Full comparison: F68.10 vs Z76.5 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Factitious disorder imposed on self, unspecified is a billable ICD-10-CM diagnosis code (F68.10).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders (F01 – F99)

c. Factitious Disorder Factitious disorder imposed on self or Munchausen’s syndrome is a disorder in which a person falsely reports or causes his or her own physical or psychological signs or symptoms. For patients with documented factitious disorder on self or Munchausen’s syndrome, assign the appropriate code from subcategory F68.1-, Factitious disorder imposed on self.

Verify Before Coding

  • CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name F68.10 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: Z76.5 — Malingerer [conscious simulation] (via F68.1.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: F45 — Somatoform disorders (via F68.1.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 292 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 1 MS-DRG: DRG 883 (MDC 19).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MBD011 — Somatic disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

F60.7 — Dependent personality disorder, F60.81 — Narcissistic personality disorder, F60.89 — Other specific personality disorders, F60.9 — Personality disorder, unspecified, F63.0 — Pathological gambling, F63.1 — Pyromania, F63.2 — Kleptomania, F63.81 — Intermittent explosive disorder, F63.89 — Other impulse disorders, F63.9 — Impulse disorder, unspecified, F68.11 — Factitious disorder imposed on self, with predominantly psychological signs and symptoms, F68.12 — Factitious disorder imposed on self, with predominantly physical signs and symptoms, F68.13 — Factitious disorder imposed on self, with combined psychological and physical signs and symptoms, F68.8 — Other specified disorders of adult personality and behavior, F68.A — Factitious disorder imposed on another, F69 — Unspecified disorder of adult personality and behavior, F70 — Mild intellectual disabilities, F71 — Moderate intellectual disabilities, F72 — Severe intellectual disabilities, F73 — Profound intellectual disabilities, +271 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Somatic disorders).

F45.0 — Somatization disorder, F45.1 — Undifferentiated somatoform disorder, F45.20 — Hypochondriacal disorder, unspecified, F45.21 — Hypochondriasis, F45.29 — Other hypochondriacal disorders, F45.41 — Pain disorder exclusively related to psychological factors, F45.42 — Pain disorder with related psychological factors, F45.8 — Other somatoform disorders, F45.9 — Somatoform disorder, unspecified, F68.11 — Factitious disorder imposed on self, with predominantly psychological signs and symptoms, F68.12 — Factitious disorder imposed on self, with predominantly physical signs and symptoms, F68.13 — Factitious disorder imposed on self, with combined psychological and physical signs and symptoms, F68.A — Factitious disorder imposed on another

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Neurosis, neurotic”; these codes share that main term but sit in a different category of the Tabular List.

F34.1 — Dysthymic disorder (depressive), F40.10 — Social phobia, unspecified (social), F40.11 — Social phobia, generalized (social, generalized), F40.9 — Phobic anxiety disorder, unspecified (phobic), F41.0 — Panic disorder [episodic paroxysmal anxiety] (anxiety, panic type), F41.1 — Generalized anxiety disorder (anxiety), F42.8 — Other obsessive-compulsive disorder (anankastic), F43.10 — Post-traumatic stress disorder, unspecified (traumatic), F43.11 — Post-traumatic stress disorder, acute (traumatic, acute), F43.12 — Post-traumatic stress disorder, chronic (traumatic, chronic), F44.4 — Conversion disorder with motor symptom or deficit (larynx, hysterical), F44.9 — Dissociative and conversion disorder, unspecified (conversion), F45.21 — Hypochondriasis (hypochondriacal), F45.8 — Other somatoform disorders (colon), F48.1 — Depersonalization-derealization syndrome (depersonalization), F48.8 — Other specified nonpsychotic mental disorders (war), F48.9 — Nonpsychotic mental disorder, unspecified, F60.9 — Personality disorder, unspecified (character), F65.9 — Paraphilia, unspecified (sexual), L98.1 — Factitial dermatitis (excoriation)

Contextual Map

Every relationship of F68.10 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run F68.10 with these 2 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

  • F45 — Somatoform disorders[Excludes2](via F68.1.-): “factitious disorders (F68.1-, F68.A)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Clinical classification (CCSR)

MS-DRG Grouper

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
  • DRG 883 — DISORDERS OF PERSONALITY AND IMPULSE CONTROL[MS-DRG]: “DISORDERS OF PERSONALITY AND IMPULSE CONTROL (MDC 19)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027

MDC crossing

  • MDC 19 — Mental Diseases and Disorders[MDC crossing]: “Mental Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Disorder (of), factitious, imposed on self[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Neurosis, neurotic, compensation[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes

Change history (3)

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2027), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "F68.10 — Factitious disorder imposed on self, unspecified." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/f68.10-factitious-disorder-imposed-on-self-unspecified

Change history

  • FY2019 — October 1, 2018
    Description revised
    Factitious disorder, unspecified → Factitious disorder imposed on self, unspecified
    FY2019 changes
  • FY2019 — October 1, 2018
    Short description revised
    Factitious disorder, unspecified → Factitious disorder imposed on self, unspecified
    FY2019 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Factitious disorder, unspecified

Nearest Codes in This Family

Official ICD-10-CM classifications closest to F68.10 in its code family, with their registry titles.

View all codes in the F68 family