F44.81
BillableDissociative identity disorder
HCC Category Mapping
V28HCC 153 — Personality Disorders and Dissociative Disorders
1.241V24HCC 60 — Personality Disorders
0.000ESRDHCC 60 — Personality Disorders
0.000RxHCCHCC 133 — Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000What This Code Means
A severe dissociative disorder where a person has multiple distinct personality states or identities, each with different memories, behaviors, and characteristics.
Coding Tips
- •Document the number of identities if specified and any history of trauma
- •Ensure thorough psychiatric evaluation has confirmed the diagnosis before coding
Clinical Significance
Dissociative identity disorder (formerly multiple personality disorder) is a severe dissociative condition characterized by two or more distinct personality states with disruption in identity and consciousness. It is strongly associated with severe childhood trauma and carries high psychiatric morbidity. This diagnosis significantly impacts risk adjustment across multiple models, reflecting the intensive psychiatric treatment required.
Documentation Requirements
- ✓Documentation of two or more distinct personality states or identities with characteristic patterns of perception and behavior
- ✓Evidence of recurrent gaps in recall of everyday events, personal information, or traumatic events inconsistent with ordinary forgetting
- ✓Symptoms cause clinically significant distress or functional impairment
- ✓Documented psychiatric evaluation confirming diagnosis using DSM-5 criteria
- ✓Documentation that symptoms are not attributable to substance use or another medical condition
Commonly Confused Codes
F44.89 (Other dissociative and conversion disorders) — use for dissociative conditions not meeting full criteria for dissociative identity disorderF44.9 (Dissociative and conversion disorder, unspecified) — avoid when specific type can be identifiedF48.1 (Depersonalization-derealization syndrome) — involves detachment from self/surroundings but NOT separate identity statesF60.3 (Borderline personality disorder) — may involve identity disturbance but not distinct alternate personalitiesF44.0 (Dissociative amnesia) — memory loss without distinct personality states
Code Hierarchy
└F44Dissociative and conversion disorders└F44.8Other dissociative and conversion disorders└F44.81Dissociative identity disorder
└F44.81Dissociative identity disorder