2025 ICD-10-CM code F95.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Mental, Behavioral, and Neurodevelopmental disorders - Tic disorders Chapter V: Mental, Behavioral and Neurodevelopmental disorders Feed
Chronic motor or vocal tic disorder is characterized by repetitive, involuntary motor movements or vocalizations lasting over a year.
Modifiers may be applied as appropriate to indicate the circumstances of service or the place of service.
Medical necessity for treatment is established when the tics significantly impair the patient's daily functioning, causing distress or interfering with social, academic, or occupational activities.The severity and impact on quality of life will justify the use of treatment interventions such as CBT and/or medication. Documentation should support this.
Diagnosis is based on a comprehensive assessment including patient history, physical examination, psychiatric evaluation, and interviews with family members.Management may involve behavioral therapies like CBT and, in some cases, medication such as antipsychotics.The clinician's responsibility includes evaluating the severity, impact on daily life, and appropriate treatment strategies.
- Chapter V: Mental, Behavioral and Neurodevelopmental disorders
- F90-F98: Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
In simple words: This code describes a condition where someone has repetitive, involuntary movements (like blinking or shrugging) or sounds (like sniffing or throat clearing) that happen for more than a year.These movements or sounds aren't intentional, though they can sometimes be temporarily stopped, which may cause discomfort.Doctors diagnose this based on the person's history and a check-up, often involving discussions with family.
Chronic motor or vocal tic disorder (F95.1) is an ICD-10-CM code representing a condition marked by the presence of either motor or vocal tics (but not both), which can be simple or multiple (usually multiple) and persist for more than a year.These tics are involuntary, sudden, rapid, nonrhythmic, and stereotyped movements or vocalizations.The disorder is diagnosed based on patient history, physical and psychiatric examinations, and interviews with family and others, comparing symptoms to DSM-5 criteria.Treatment may include cognitive behavioral therapy (CBT) and/or antipsychotic medications for complex or chronic cases.While stress and lack of sleep can exacerbate symptoms, there's no known single cause.
Example 1: A 10-year-old boy presents with chronic eye blinking and throat clearing for the past 18 months. These tics interfere with his schoolwork and social interactions. The diagnosis of F95.1 is made after ruling out other neurological or medical conditions., A 15-year-old girl exhibits repetitive shoulder shrugging and sniffing that has been ongoing for two years.The tics are exacerbated by stress, and she experiences significant social anxiety due to the involuntary movements.She undergoes CBT to manage the tic disorder., A 22-year-old man reports a history of chronic motor and vocal tics since childhood (simple motor tics like eye blinking and complex motor tics involving facial grimacing and repetitive movements of his neck, as well as complex vocal tics including grunting and echolalia). Despite the long duration, he only seeks treatment now because the tics are worsening, and he experiences significant social isolation. He's started on medication in conjunction with CBT.
Detailed patient history describing the onset, duration, frequency, and severity of tics;physical examination findings; results of any neurological or other relevant medical tests; psychiatric evaluation documenting the impact of tics on daily life and social interactions; and documentation of treatment plan, including any therapy or medication prescribed.
** This code is used for cases where either motor or vocal tics are present, but not both simultaneously. The presence of both motor and vocal tics would typically warrant a different diagnosis, such as Tourette's Disorder (F95.2).
- Payment Status: Active
- Specialties:Child and Adolescent Psychiatry, Neurology, Psychology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Other Place of Service