ICD-10 Code F68.11 – Factitious disorder imposed on self, with predominantly psychological signs and symptoms (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F68.11 – Factitious disorder imposed on self, with predominantly psychological signs and symptoms
What it is
F68.11 identifies factitious disorder in which a person intentionally presents or induces psychological symptoms, without obvious external rewards. Use it when the record shows self-inflicted deception focused mainly on mental health signs.
Clinical signs
Clinical features vary; refer to documentation. Commonly, the chart describes inconsistent psychiatric complaints, unusual symptom patterns, or evidence that symptoms are fabricated or exaggerated, with repeated requests for evaluation or hospitalization.
When to use this code
Use F68.11 when the clinician documents factitious disorder imposed on self and the predominant presentation is psychological rather than physical. It may fit notes describing fabricated depression, psychosis, amnesia, or other mental symptoms. Code only when the diagnosis is clearly stated or strongly supported in the record.
Do not use for
Do not use this code for malingering, where symptoms are produced for external gain, or for a confirmed psychotic disorder, anxiety disorder, or depression without factitious behavior. Check documentation.
Coding tip
Assign F68.11 only when the provider documents factitious disorder; symptom reports alone are not enough.