ICD-10 Code F68.13 – Factitious disorder imposed on self, with combined psychological and physical signs and symptoms (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F68.13 – Factitious disorder imposed on self, with combined psychological and physical signs and symptoms
What it is
F68.13 identifies factitious disorder in which a person intentionally produces or falsifies both psychological and physical symptoms. Use it when the behavior is aimed at assuming the sick role, not for obvious external gain.
Clinical signs
Clinical features vary; refer to documentation. Records may show inconsistent histories, unexplained symptoms, or findings that do not match observed behavior, along with both mental and physical complaints.
When to use this code
Use this code when the clinician documents factitious disorder imposed on self with combined psychological and physical signs and symptoms. The note should support intentional symptom fabrication or induction and describe both types of manifestations. If the documentation is unclear, check documentation before assigning the code.
Do not use for
Do not use this code for malingering, where symptoms are produced for clear external benefits, or for somatic symptom disorder without intentional falsification. If the record does not specify combined psychological and physical features, check documentation.
Coding tip
Code only when the provider clearly documents intentional feigning or induction and the combined presentation; otherwise, query for clarification.