Factit disord impsd on self,w comb psych & physcl signs/symp

This code describes a mental disorder where an individual intentionally produces or feigns both psychological and physical signs or symptoms of illness in themselves. The motivation for these actions is to assume the sick role, not for external incentives like financial gain or avoiding work. Patients may present with fabricated symptoms, self-inflicted injuries, or exaggeration of existing conditions.

Use this code when documentation clearly indicates a patient is deliberately creating or feigning a combination of mental and physical health problems for the primary purpose of being perceived as ill. This diagnosis requires evidence that the patient is actively deceiving healthcare providers about their health status. Supporting documentation would include detailed psychiatric evaluations, observations of symptom inconsistencies, and exclusion of other medical or psychiatric conditions that could explain the presentation.

• Differentiate from malingering (F68.10) where the motivation is external gain.
• Ensure documentation explicitly states both psychological and physical symptom fabrication/feigning.
• Always sequence this code as a primary diagnosis when it is the focus of the encounter.