F44.89
BillableOther dissociative and conversion disorders
HCC Category Mapping
RxHCCHCC 133 — Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000What This Code Means
Other rare dissociative or conversion disorders that do not fit into the more specific categories, such as trance states or possession-form disorders.
Coding Tips
- •Use this code only when the specific dissociative or conversion disorder cannot be classified elsewhere
- •Include detailed clinical documentation describing the specific symptoms and presentation
Clinical Significance
This code captures dissociative and conversion conditions that do not fit neatly into other specified categories, such as dissociative trance, Ganser syndrome, or psychogenic confusion. These conditions reflect significant psychological distress and may require specialized psychiatric treatment. While not directly HCC-mapped in major models, accurate coding ensures appropriate care planning.
Documentation Requirements
- ✓Specific description of the dissociative or conversion symptoms present
- ✓Documentation explaining why the condition does not fit other specified dissociative disorder categories
- ✓Psychiatric evaluation supporting the dissociative nature of symptoms
- ✓Exclusion of organic medical conditions and substance-induced causes
- ✓Documentation of functional impairment and treatment plan
Commonly Confused Codes
F44.81 (Dissociative identity disorder) — requires distinct personality states, not just dissociative symptomsF44.7 (Conversion disorder with mixed symptom presentation) — use when multiple conversion symptom types are presentF44.9 (Dissociative and conversion disorder, unspecified) — use F44.89 when a specific type IS identified but lacks its own codeF48.1 (Depersonalization-derealization syndrome) — has its own specific code, do not use F44.89F44.2 (Dissociative stupor) — use for specific dissociative stupor presentations
Code Hierarchy
└F44Dissociative and conversion disorders└F44.8Other dissociative and conversion disorders└F44.89Other dissociative and conversion disorders
└F44.89Other dissociative and conversion disorders