In simple words: This code refers to a general diagnosis of gender identity disorder, where a person experiences significant distress or discomfort about their assigned sex and identifies with a different gender. The specific type of gender identity disorder is not documented in this case.

Gender identity disorder, unspecified. Gender dysphoria, unspecified. Gender incongruence, unspecified. Gender-role disorder NOS.

Example 1: A patient reports feeling uncomfortable with their assigned sex and expresses a desire to live as the opposite gender, but the clinician does not specify the type of gender identity disorder., An adolescent experiences distress and confusion regarding their gender identity, but the specific criteria for other gender identity disorders are not met., An adult seeks therapy for gender dysphoria, expressing a desire for gender transition, but the clinician chooses to use the unspecified code due to incomplete information or ongoing assessment.

Documentation should include evidence of the patient's distress or discomfort regarding their assigned sex and their identification with another gender.If specific features of other gender identity disorders are present, these should be documented as well to support a more specific diagnosis.

** As of October 1, 2016, EmblemHealth has removed gender-based rules for claims with F64.9, allowing coverage for gender affirmation/reassignment surgery.