2025 ICD-10-CM code F64.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Mental, Behavioral and Neurodevelopmental disorders - Gender identity disorders Chapter V: Mental, Behavioral and Neurodevelopmental disorders (F01-F99) Feed
Transsexualism:A gender identity disorder where an adolescent or adult identifies with the opposite sex, impacting daily life.
Modifiers may apply depending on the specific services provided (e.g., for anesthesia, surgical procedures).
Medical necessity is established by the presence of clinically significant distress or impairment in social, occupational, or other important areas of functioning due to gender dysphoria.The patient's desire to align their physical appearance and identity should be clearly documented, as well as the rationale for any proposed interventions.
The clinical responsibility involves a comprehensive assessment of the patient's gender identity, mental health status, and overall well-being.This may include psychotherapy, counseling, hormone therapy management, and coordination of care with surgeons if the patient opts for sex reassignment surgery.Ongoing monitoring of the patient's psychological adjustment and physical health is crucial.
- Chapter V: Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Disorders of adult personality and behavior (F60-F69)
In simple words: Transsexualism means someone feels like they are a different gender than the one they were assigned at birth. This can make it hard to do everyday things, and they might want medical help to change their body to match how they feel inside.
Transsexualism, as classified in ICD-10-CM F64.0, refers to a gender identity disorder characterized by a persistent desire to live and be accepted as a member of the opposite sex.This is typically accompanied by significant discomfort with, or inappropriateness of, one's assigned sex at birth, along with a strong wish for surgical and/or hormonal interventions to achieve greater congruence between one's physical body and gender identity.The condition can significantly interfere with various aspects of daily life, including social interactions, work, school, and religious practices.Symptoms can include anxiety, depression, and even suicidal ideation. Diagnosis is based on established criteria, often involving a persistent (at least two years) and intense desire to live as the opposite gender and may include hormonal or surgical interventions.
Example 1: A 25-year-old male patient presents with persistent feelings of being female, experiencing significant distress due to gender incongruence.He seeks hormonal therapy and eventual sex reassignment surgery., A 17-year-old female patient reports feeling like a male and experiencing social isolation due to gender dysphoria.She requests mental health counseling and possible testosterone therapy., A 40-year-old patient who underwent sex reassignment surgery years ago presents for routine follow-up care and management of hormone replacement therapy.
Detailed documentation should include the patient's history of gender dysphoria, including the duration, intensity, and impact on their daily life.Mental health evaluations, psychological assessments, and documentation of any hormonal or surgical interventions are also necessary.Progress notes should detail the patient's response to treatment and any adjustments made.
** ICD-11 is expected to replace "gender identity disorder" with "gender incongruence,"but as of today (December 3rd, 2024), ICD-10-CM F64.0 remains the current code.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Psychiatry, Endocrinology, Surgery
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center