Other Disorders of Adult Personality and Behaviour (F68)
DSM-5-TR: Factitious Disorder
ICD-10-AM and DSM-5-TR may classify conditions differently. Refer to APA and WHO for complete diagnostic criteria.
Key Facts
ICD-10 Range
F60-F69
Subcodes
3 subcodes
Overview
Other specified disorders of adult personality and behaviour, including factitious disorder (deliberate production or feigning of symptoms).
ICD-10-AM Subcodes
| Code | Name | Description |
|---|---|---|
| F68.0 | Elaboration of physical symptoms for psychological reasons | |
| F68.1 | Intentional production or feigning of symptoms | |
| F68.8 | Other specified disorders of adult personality and behaviour |
Classification Boundaries
Includes
- Factitious disorder
- Munchausen syndrome
- Hospital hopper syndrome
- Compensation neurosis
Excludes1 (coded elsewhere)
- Malingering (Z76.5)
- Person feigning illness with obvious motivation (Z76.5)
- Dermatitis factitia (L98.1)
Australian Clinical Context
Factitious disorder is encountered in Australian hospital settings. Munchausen syndrome by proxy (factitious disorder imposed on another) is a safeguarding concern reportable under child protection legislation.
Medicare (MBS) Pathways
Better Access to Mental Health Care
The primary Medicare pathway for mental health treatment in Australia. Requires a GP Mental Health Treatment Plan (MHTP) referral. Available for any clinically diagnosed mental disorder.
| Provider Type | MBS Items | Session Type |
|---|---|---|
| Clinical Psychologist | 80000–80025 | Psychological therapy (higher rebate) |
| Registered Psychologist | 80100–80123 | Focused psychological strategies |
| Occupational Therapist | 80125–80145 | Focused psychological strategies |
| Social Worker | 80150–80175 | Focused psychological strategies |
| Psychiatrist | 291, 296–299, 300–308 | Psychiatric consultation |
Clinical Psychologist
Registered Psychologist
Occupational Therapist
Social Worker
GP referral items: 2700, 2701, 2715, 2717
Eligibility: Any clinically diagnosed mental disorder as defined by WHO ICD-10 Chapter V. Requires a GP or psychiatrist referral.
Exclusions:
- Intellectual disability (use Complex Neurodevelopmental Disorder pathway or specialist referral)
- Dementia and organic mental disorders (use specialist referral pathway)
- Tobacco use disorder
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Reference information sourced from MBS Online (mbsonline.gov.au). Item availability, rebates, and eligibility criteria may change. This is not billing advice — always verify current items before claiming. Last verified: April 2026.
Clinical Documentation Notes
DSM-5-TR uses "Factitious Disorder" (imposed on self or on another). Munchausen syndrome by proxy is now "Factitious Disorder Imposed on Another." Document evidence of intentional symptom production carefully. Consider safeguarding referral when imposed on another person.
Related Diagnostic Codes
ICD-10-AM diagnostic codes commonly associated with the Other Disorders of Adult Personality and Behaviour (F68).
References
- World Health Organization. ICD-10-AM.
- American Psychiatric Association. DSM-5-TR. 2022.
Clinical Scoring Calculator — Not a Diagnostic Tool
This tool calculates scores based on published guidelines for professional reference. It does not provide clinical diagnoses. Scores are provided as reference information only and should be interpreted by a qualified practitioner in the context of a comprehensive assessment.
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