2027 ICD-10-CM Diagnosis Code F68.13Factitious disorder imposed on self, with combined psychological and physical signs and symptoms

ICD-10-CM Codes›F01–F99›F60-F69›F68

ICD-10-CM F68.13
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F68.13 is a billable ICD-10-CM diagnosis code for factitious disorder imposed on self, with combined psychological and physical signs and symptoms. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 880. Coders also document this condition as factitious disorder with combined physical AND psychological symptoms. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Somatic disorders.

F68.13 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 for payment year 2027.

Code Identity

ICD-10-CM Code
F68.13
Billable Status
Yes — Valid for Submission
Code Describes
Factitious disorder imposed on self, with combined psychological and physical signs and symptoms
Short Description
Factit disord impsd on self,w comb psych & physcl signs/symp
Parent Code
F68.1
Factitious disorder imposed on self

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF60-F69Disorders of adult personality and behavior
CategoryF68Other disorders of adult personality and behavior
This CodeF68.13Factitious disorder imposed on self, with combined psychological and physical signs and symptoms

Medicare Risk Adjustment (HCC)Billing

F68.13 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
no payment category in the model that pays 100% of MA risk scores
Prior Model (CMS-HCC V24)
Not mapped under V24
this diagnosis newly risk-adjusts under the V28 model
Part D (RxHCC)
RxHCC 133 — Anxiety and Other Psychiatric Disorders
also risk-adjusts in the Part D prescription drug model (V08)

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.

  • Factitious disorder with combined physical AND psychological symptoms

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F68.13: its own notes plus those printed at F68.1 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.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

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.

From F68.1 Factitious disorder imposed on self applies to 4 codes
  • factitial dermatitis (L98.1)
  • person feigning illness (with obvious motivation) (Z76.5)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F68.13, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming F68.13: they are not reported together with it, unless the two conditions are unrelated.

  • Z76.5 Malingerer [conscious simulation]
    factitious disorder (F68.1-, F68.A) names F68.1-, which includes this code
  • Z76.5 Malingerer [conscious simulation]
    peregrinating patient (F68.1-) names F68.1-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming F68.13: its condition is not part of those codes, and both may be reported when the patient has both.

  • F45 Somatoform disorders
    factitious disorders (F68.1-, F68.A) names F68.1-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD011
Somatic disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

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 F68.13 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
300.16 Factitious dis w symptom
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
301.51 Chr factitious illness
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F68.13Overview

Is F68.13 (Factitious disorder imposed on self) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report factitious disorder imposed on self, with combined psychological and physical signs and symptoms on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F68.13 group to?

When factitious disorder imposed on self, with combined psychological and physical signs and symptoms is the principal diagnosis on an inpatient stay, it groups to MS-DRG 880 (acute Adjustment Reaction and Psychosocial Dysfunction), which carries a relative weight of 0.9306. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F68.13?

Under the General Equivalence Mappings, factitious disorder imposed on self, with combined psychological and physical signs and symptoms converts to ICD-9-CM 300.16 (factitious dis w symptom) and 301.51 (chr factitious illness). The mapping is approximate, so confirm the match fits the documentation.

Does F68.13 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage: F68.13 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 (Anxiety and Other Psychiatric Disorders).