2027 ICD-10-CM Diagnosis Code F44.81Dissociative identity disorder
ICD-10-CM Codes›F01–F99›F40-F48›F44
- Billable — Valid for Submission
- Risk Adjusts — HCC 153
- Chronic Condition
F44.81 is a billable ICD-10-CM diagnosis code for dissociative identity disorder. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 883. Coders also document this condition as multiple personality disorder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Trauma- and stressor-related disorders.
For Medicare Advantage risk adjustment, F44.81 maps to CMS-HCC Category 153 (Personality Disorders; Anorexia/Bulimia Nervosa) under the V28 model, adding a risk factor of about 0.396 for a community, non-dual, aged beneficiary in payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
F44.81 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Multiple personality disorder
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F44.81: its own notes plus those printed at F44 and Chapter 5. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- conversion hysteria
- conversion reaction
- hysteria
- hysterical psychosis
- disorders of psychological development
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Multiple personality disorder
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- malingering [conscious simulation] (Z76.5)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F44.81, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming F44.81: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 2
These codes carry an Excludes2 note naming F44.81: its condition is not part of those codes, and both may be reported when the patient has both.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disorder (of) See Also: Disease;
dissociative F44.81
multiple personality F44.81
Multiple, multiplex See Also: condition;
personality F44.81
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Dissociative Identity Disorder
a dissociative disorder in which the individual adopts two or more distinct personalities. each personality is a fully integrated and complex unit with memories, behavior patterns and social friendships. transition from one personality to another is sudden.
Patient EducationClinical
Mental Disorders
Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may happen over a short period of time or come and go. Some can be chronic (long-lasting). They can affect your ability to relate to others and function each day..
The full article covers:
- What are mental disorders?
- What are some types of mental disorders?
- What causes mental disorders?
- Who is at risk for mental disorders?
- How are mental disorders diagnosed?
- What are the treatments for mental disorders?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F44.81 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F44.81Overview
What is the ICD-10 code for dissociative identity disorder?
The ICD-10-CM code for dissociative identity disorder is F44.81 (sometimes written as F4481). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is F44.81 (Other dissociative and conversion disorders) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report dissociative identity disorder on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F44.81 group to?
When dissociative identity disorder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 883 (disorders of Personality and Impulse Control), which carries a relative weight of 1.7398. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of F44.81?
Under the General Equivalence Mappings, dissociative identity disorder converts to ICD-9-CM 300.14 (dissociatve identity dis). The mapping is a direct match.
What HCC is F44.81?
F44.81 (dissociative identity disorder) maps to CMS-HCC Category 153 (Personality Disorders; Anorexia/Bulimia Nervosa), commonly written as HCC 153, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 60 under the retired V24 model. It also maps in the ESRD (V24) model. In the Part D prescription drug model it maps to RxHCC 133.
Does F44.81 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, F44.81 adds a risk adjustment factor of about 0.396 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.199 to 0.464 depending on the payment segment). A more severe related category (HCC 151 and HCC 152) supersedes it when both are reported. See the full factor table on the HCC 153 category page.
