October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

F68 Other disorders of adult personality and behavior

All 6 codes in the F68 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

6

Can lead a claim

6

Cannot lead a claim

0

What CMS assigns to F68

All 6 codes group to Behavioral Health. 3 of the 6 count toward the Schizotypal, Persistent Mood, and Adult Personality Disorders comorbidity subgroup; 3 are assigned none. Every code can lead a claim.

  • Schizotypal, Persistent Mood, and Adult Personality Disorders

Every code in F68

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
F68.1 Factitious disorder imposed on self
F68.10Factitious disorder imposed on self, unspecifiedCan lead a claimFSchizotypal, Persistent Mood, and Adult Personality Disorders
F68.11Factitious disorder imposed on self, with predominantly psychological signs and symptomsCMS: Factit disord imposed on self, with predom psych signs/sympCan lead a claimFNone
F68.12Factitious disorder imposed on self, with predominantly physical signs and symptomsCMS: Factit disord impsd on self, with predom physcl signs/sympCan lead a claimFSchizotypal, Persistent Mood, and Adult Personality Disorders
F68.13Factitious disorder imposed on self, with combined psychological and physical signs and symptomsCMS: Factit disord impsd on self,w comb psych & physcl signs/sympCan lead a claimFSchizotypal, Persistent Mood, and Adult Personality Disorders
F68.AFactitious disorder imposed on anotherCan lead a claimFNone
F68.8Other specified disorders of adult personality and behaviorCan lead a claimFNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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