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2025 ICD-10-CM code F64

Gender identity disorder, characterized by distress caused by a mismatch between one's gender identity and assigned sex at birth.

Coding guidelines should adhere to the official ICD-10-CM coding conventions.Accurate coding requires careful consideration of the individual's reported gender identity, associated distress, and any treatment received.Note the evolution of terminology and avoid outdated terminology.

Medical necessity for treatment of gender dysphoria is generally established by the presence of clinically significant distress and impairment caused by the incongruence between gender identity and assigned sex.This may include psychological distress, social difficulties, and impact on occupational functioning.Documentation must support the diagnosis and the need for specific interventions.

Diagnosis and treatment of gender identity disorder typically involves a multidisciplinary approach, including psychiatrists, psychologists, endocrinologists, and surgeons.Psychiatrists and psychologists conduct evaluations, provide psychotherapy, and manage associated mental health conditions. Endocrinologists oversee hormone replacement therapy. Surgeons perform gender confirmation surgeries.

IMPORTANT The term "gender identity disorder" has been largely replaced by "gender dysphoria" in more recent diagnostic manuals like the DSM-5.ICD-11 uses the term "gender incongruence".

In simple words: Gender identity disorder means someone feels distressed because their gender identity (how they feel inside) doesn't match the sex they were assigned at birth. This can affect their daily life, including school, work, and relationships.It's treated with therapy, counseling, and sometimes medical interventions like hormone therapy or surgery.

Gender identity disorder, also known as gender dysphoria or gender incongruence, is a condition where an individual experiences significant distress and impairment due to a marked and persistent incongruence between their experienced or expressed gender and their assigned sex at birth.This distress can manifest in various ways depending on age and may include a strong desire to be rid of one's sexual characteristics, a desire for the sexual characteristics of the other gender, and a strong desire to be of the other gender. The condition may begin in childhood, become established during adolescence or adulthood, and may be associated with anxiety, depression, and suicidal ideation. Diagnosis requires the presence of specific criteria outlined in diagnostic manuals for at least six months. Treatment may involve psychotherapy, coping skills training, family counseling, hormone therapy, and/or gender reassignment surgery.

Example 1: A 25-year-old female assigned at birth presents with persistent distress about her female anatomy and a strong desire to live as a male. She reports experiencing significant social isolation and depression related to this incongruence., A 16-year-old male assigned at birth expresses a strong and persistent desire to be female, including a wish to develop breasts and have gender-affirming surgery. He experiences anxiety around his body and social interactions., A 40-year-old individual assigned female at birth seeks therapy to address gender dysphoria, experiencing significant distress about their body and lack of social support. They express interest in hormone replacement therapy.

Detailed history of gender incongruence, including onset, duration, and impact on daily life.Documentation of psychological evaluations, mental health assessments, hormone therapy records (if applicable), and surgical procedures (if applicable).Evidence of the individual's consistent gender expression.

** This code is used for diagnostic purposes and should not be used to identify an individual's gender. It is crucial to approach this diagnosis with sensitivity and respect for the individual's experience.

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