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2025 ICD-10-CM code F64.1

Dual-role transvestism:Cross-dressing without sexual motivation or desire for sex reassignment.

Appropriate coding requires accurate documentation that clarifies the absence of sexual motivation and the lack of desire for sex reassignment.Consider using additional codes to indicate any co-existing conditions.

Medical necessity would typically be established through a comprehensive psychiatric evaluation demonstrating the presence of clinically significant distress related to gender incongruence and ruled out other possible diagnoses.

Diagnosis is based on medical history and psychiatric evaluation.Management may involve encouraging participation in support groups for individuals with similar experiences.

IMPORTANT Use additional code Z87.890 (Personal history of sex reassignment) if applicable.Excludes F64.2 (Gender identity disorder of childhood) and F65.1 (Fetishistic transvestism).

In simple words: Dual-role transvestism means dressing as the opposite gender for the feeling of being that gender, without sexual reasons or wanting to change genders permanently.

Dual-role transvestism is characterized by the act of wearing clothes of the opposite sex to temporarily experience being the opposite sex.This behavior is not sexually motivated, and there's no desire for permanent sex reassignment or hormonal/surgical changes.

Example 1: A 35-year-old male patient reports experiencing significant distress about his assigned gender. He explains that he finds pleasure in wearing women's clothing, but this is not sexually motivated and he has no desire to undergo gender reassignment., A 40-year-old female patient presents with a history of cross-dressing since adolescence.She reports that this behavior helps her feel more comfortable and expressive, but has no intention of transitioning genders., A 28-year-old individual seeks mental health services due to distress caused by experiencing gender incongruence, characterized by dressing in the clothing of the opposite sex, but without desiring medical treatments for gender transition.

Detailed medical history including the onset and duration of cross-dressing behavior.Psychiatric evaluation including assessment of sexual motivation and desire for sex reassignment.Documentation of the patient's understanding and acceptance of the diagnosis.

** This code is used for individuals who experience temporary relief from gender dysphoria through cross-dressing without the intention or desire for medical transition.

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