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

Billable ICD-10-CM code, FY2026.

Applies from F68.1 Factitious disorder imposed on self

Applicable to

• Compensation neurosis
• Elaboration of physical symptoms for psychological reasons
• Hospital hopper syndrome
• Münchausen's syndrome
• Peregrinating patient

Excludes2 (not included here)

• factitial dermatitis (L98.1)
• person feigning illness (with obvious motivation) (Z76.5)

Risk adjustment (HCC)

• RxHCC V08: HCC 133 — Anxiety and Other Psychiatric Disorders

MS-DRG index

Defines the logic of DRG(s) 880 in MDC 19.

Approximate ICD-9-CM (GEMs)

• 300.16 Factitious disorder with predominantly psychological signs and symptoms (approximate)
• 301.51 Chronic factitious illness with physical symptoms (approximate)

Code annotations containing back-references to F68.13

Back-references to F68.1

• Type 2 Excludes: F45 Somatoform disorders ("factitious disorders (F68.1-, F68.A)")
• Type 1 Excludes: Z76.5 Malingerer [conscious simulation] ("factitious disorder (F68.1-, F68.A)")
• Type 1 Excludes: Z76.5 Malingerer [conscious simulation] ("peregrinating patient (F68.1-)")

Diagnosis Index entries for F68.13

• Disorder (of) › factitious › imposed on self › with predominantly › psychological symptoms › with physical symptoms
• Disorder (of) › factitious › imposed on self › with predominantly › physical symptoms › with psychological symptoms

Nearby codes

• F68 Other disorders of adult personality and behavior
• F68.1 Factitious disorder imposed on self
• F68.10 Factitious disorder imposed on self, 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 (this code)
• F68.A Factitious disorder imposed on another
• F68.8 Other specified disorders of adult personality and behavior