ICD-10 diagnosis code

F68.1 Intentional production or feigning of symptoms or disabilities, either physical or psychological [factitious disorder]

F68.1 is the ICD-10 code for Intentional production or feigning of symptoms or disabilities, either physical or psychological [factitious disorder]. It is a four-character subcategory of F68 (Other disorders of adult personality and behaviour), the most specific level in the WHO edition. It belongs to the block F60–F69 (Disorders of adult personality and behaviour) in Chapter V, Mental and behavioural disorders.

Code type: Subcategory (4 characters)
Chapter: V · F00–F99
Classification: WHO ICD-10, 2019 version

Definition

The patient feigns symptoms repeatedly for no obvious reason and may even inflict self-harm in order to produce symptoms or signs. The motivation is obscure and presumably internal with the aim of adopting the sick role. The disorder is often combined with marked disorders of personality and relationships.

What F68.1 includes

Conditions and terms that are coded here.

Hospital hopper syndrome
Münchhausen syndrome
Peregrinating patient

What F68.1 excludes

Conditions that look similar but belong under another code.

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

F68.1 in national editions

Countries report with their own edition of ICD-10. Most keep the WHO code and add more specific codes beneath it.

SwedenICD-10-SE

F68.1Medveten självskada eller simulering av fysiska eller psykiska symtom

NorwayICD-10-NO

F68.1Viljestyrt produksjon eller simulering av enten fysisk eller psykisk symptom eller dysfunksjon

DenmarkICD-10-DK

DF681Sygdomsefterligning helt eller delvist bevidst

DF681ASecretans syndrom
DF681BPatomimi
DF681CSelvmutilation UNS
DF681DMünchhausens syndrom

FinlandICD-10-FI

F68.1Ruumiillisten tai henkisten oireiden tai vammojen tarkoituksellinen tuottaminen tai teeskentely (itseaiheutettu häiriö)

GermanyICD-10-GM

F68.1Artifizielle Störung [absichtliches Erzeugen oder Vortäuschen von körperlichen oder psychischen Symptomen oder Behinderungen]

FranceICD-10-FR

F68.1Production intentionnelle ou simulation de symptômes ou d'une incapacité, soit

NetherlandsICD-10-NL

F68.1opzettelijk veroorzaken of voorwenden van lichamelijke of psychische

United StatesICD-10-CM

Listed through more specific codes:

F68.10Factitious disorder imposed on self, unspecified
F68.11Factitious disorder imposed on self, with predominantly psychological signs and symptoms
F68.12Factitious disorder imposed on self, with predominantly physical signs and symptoms
F68.13Factitious disorder imposed on self, with combined psychological and physical signs and symptoms

Based on the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), 2019 version, and the national editions published by each country’s health authority. This page is a reference, not coding advice; follow your national coding rules when you report.

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