Factitious disorder imposed on self, unspecified
ICD-10 F68.10 is a billable code used to indicate a diagnosis of factitious disorder imposed on self, unspecified.
Factitious disorder imposed on self, unspecified, is a mental health condition characterized by the intentional production or feigning of physical or psychological symptoms in oneself. Individuals with this disorder may present with symptoms that are not based on any identifiable medical condition, often seeking medical attention or treatment. The motivation behind these behaviors is typically to assume the sick role, rather than for external incentives such as financial gain or avoiding legal responsibilities. This disorder can be associated with underlying personality disorders, such as borderline or narcissistic personality disorder, and may involve maladaptive behaviors, including impulsivity and a need for attention. The diagnosis requires careful clinical evaluation to differentiate it from other mental health conditions, including somatic symptom disorder and malingering. The lack of specificity in the code indicates that the clinician has not provided detailed information about the nature of the symptoms or the underlying psychological issues, making it essential for coders to ensure comprehensive documentation to support the diagnosis.
Detailed clinical notes outlining the patient's history, symptom presentation, and any psychological evaluations.
Patients presenting with unexplained medical symptoms, frequent hospital visits, or a history of self-harm.
Psychiatrists should be aware of the potential for co-occurring personality disorders and ensure comprehensive assessments.
Thorough documentation of physical examinations, lab results, and any consultations with mental health professionals.
Patients with recurrent symptoms that do not respond to standard medical treatment.
Internal medicine providers should collaborate with mental health specialists for accurate diagnosis and management.
Used when evaluating a patient suspected of having factitious disorder.
Comprehensive history and mental status examination.
Psychiatrists should ensure thorough documentation to support the diagnosis.
Factitious disorder involves intentionally producing symptoms without external incentives, while malingering is characterized by symptom production for tangible benefits, such as financial gain or avoiding responsibilities.
