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Home/Diagnosis/ICD-10 Coding for Malingering (Z76.5)

ICD-10 Coding for Malingering (Z76.5)

Z76.5

Complete ICD-10-CM coding and documentation guide for icd-10 coding for malingering (z76.5) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Feigning illness
Simulated disorder
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Key Information: ICD-10 Coding for Malingering (Z76.5)

Essential facts and insights about ICD-10 Coding for Malingering (Z76.5)

Use ICD-10 code Z76.5 for malingering, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malingering

Billable Code
Z76.5
Billable

Diagnostic Criteria

clinical:
  • • Presence of external incentives for symptom production
documentation:
  • • Explicit documentation of intentional symptom exaggeration

Applicable To

  • • Intentional production of false or grossly exaggerated physical or psychological symptoms

Important Notes

  • • Ensure documentation explicitly states the external incentive and intentionality of symptom production.
Frequently Asked Questions

What is the ICD-10 code for malingering?

The ICD-10 code for malingering is Z76.5, used to identify cases where symptoms are intentionally exaggerated for external incentives.

How do you document malingering?

Documentation for malingering should include explicit mention of external incentives and evidence of intentional symptom exaggeration.

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