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F44.6

Billable

Conversion disorder with sensory symptom or deficit

HCC Category Mapping

RxHCCHCC 133Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000

What This Code Means

A condition where emotional stress causes loss of sensation, numbness, blindness, or deafness without any physical damage to nerves or sensory organs.

Coding Tips

  • Specify the type of sensory loss (visual, auditory, tactile, olfactory, gustatory)
  • Document that sensory testing and imaging have ruled out organic causes

Clinical Significance

Conversion disorder with sensory symptom or deficit involves neurological sensory symptoms such as numbness, blindness, deafness, or altered sensation that are incompatible with recognized neurological or sensory conditions. These symptoms are genuine and involuntary, not intentionally produced. Accurate differentiation from organic sensory loss requires comprehensive neurological and sensory evaluation.

Documentation Requirements

  • One or more sensory symptoms (numbness, blindness, deafness, reduced sensation, pain, etc.)
  • Clinical findings demonstrating incompatibility with recognized neurological conditions (e.g., non-anatomical sensory loss patterns, tubular visual fields, intact reflexes despite reported numbness)
  • Symptom not better explained by another medical or mental disorder
  • Results of sensory testing and neurological examination
  • Diagnostic workup results (MRI, visual evoked potentials, audiometry) as appropriate
  • Clinically significant distress or functional impairment

Commonly Confused Codes

Code Hierarchy

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