F44.7

HCC Category Mapping

What This Code Means

A condition where a person experiences physical symptoms (like weakness, numbness, or difficulty moving) that cannot be explained by a medical disease, caused by psychological stress or trauma. The symptoms are real to the patient but originate from emotional distress rather than physical illness.

Coding Tips

• •Ensure documentation clearly indicates multiple conversion symptoms affecting different body systems or functions to justify the 'mixed symptom presentation' specificity
• •Verify that medical workup has ruled out organic neurological or medical causes before coding this diagnosis, and document the psychological stressor or trauma when available

Clinical Significance

Conversion disorder with mixed symptom presentation indicates a complex somatoform condition where multiple neurological symptom types (motor, sensory, seizure-like) coexist without organic cause. This diagnosis reflects significant psychological burden and often requires intensive multidisciplinary management. For risk adjustment, it maps to RxHCC 133 and signals high medication utilization for symptomatic management.

Documentation Requirements

• ✓Documentation of at least two different types of conversion symptoms (e.g., motor weakness AND sensory loss AND/or pseudoseizures)
• ✓Negative neurological workup results ruling out organic etiology for each symptom type
• ✓Identified psychological stressor or traumatic event temporally associated with symptom onset
• ✓Functional impairment assessment describing impact on daily activities
• ✓Provider explicitly stating 'conversion disorder' or 'functional neurological symptom disorder' with mixed presentation

Commonly Confused Codes