2025 ICD-10-CM code F64.8
Other gender identity disorders.This code is used when the patient's gender identity does not align with their assigned sex at birth, and the condition is not better described by another code in the F64 category.
Medical necessity for services related to F64.8 is established by the presence of clinically significant distress or impairment in functioning due to the gender identity incongruence.Documentation should clearly demonstrate the need for intervention and the expected benefits of treatment.
Diagnosis is typically made by mental health professionals based on a thorough psychiatric evaluation, including the patient's history and reported experiences. Treatment may involve psychotherapy, coping skills training, family counseling, and other supportive interventions tailored to the individual's needs.
- 6 (Mental, Behavioral and Neurodevelopmental disorders)
- F60-F69 (Disorders of adult personality and behavior)
In simple words: This code is used when a person feels that their inner sense of gender is different from the sex they were assigned at birth, and this difference isn't covered by other similar diagnoses.For example, someone might feel like they are neither male nor female, both, or another gender entirely. This can cause significant distress and difficulty in their daily life.
Other gender identity disorders encompasses various conditions where an individual's experienced gender differs significantly from their assigned sex at birth, causing distress or impairment. This includes situations where individuals may identify as neither male nor female, both male and female, or another gender entirely. It is crucial to distinguish F64.8 from other codes within the F64 category, such as transsexualism (F64.0), dual-role transvestism (F64.1), and gender identity disorder of childhood (F64.2), as these represent distinct clinical presentations.
Example 1: A patient reports feeling a persistent disconnect between their assigned sex at birth and their internal sense of gender, identifying as non-binary.They experience significant distress related to this incongruence, impacting their social interactions and daily functioning., An individual experiences distress and confusion related to their gender identity, fluctuating between identifying as male, female, and sometimes neither.They seek professional help to understand and manage these feelings., A person identifies with a gender that is outside the traditional binary of male and female. They experience societal stigma and discrimination, leading to anxiety and depression.They seek therapy to cope with these challenges and affirm their gender identity.
Documentation should include a detailed history of the patient's gender identity development, the nature and duration of any distress or impairment experienced, and the impact on social, occupational, or other areas of functioning.Any associated mental health conditions, such as anxiety or depression, should also be documented.
- Payment Status: Active
- Specialties:Psychiatry, psychology, endocrinology
- Place of Service:Outpatient Hospital, Office, Inpatient Hospital, Community Mental Health Center