2025 ICD-10-CM code F95.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Neurodevelopmental disorders - Other tic disorders Mental, Behavioral and Neurodevelopmental disorders (F01-F99) Feed
Other tic disorders encompass repetitive, involuntary motor movements or vocalizations not fitting other tic disorder classifications.
Not applicable to ICD-10 codes. Modifiers are applied to CPT and HCPCS codes.
Medical necessity for treatment is established when the tics significantly interfere with the patient's daily functioning, social interactions, or quality of life.The severity and impact of the tics on the patient’s well-being will support medical necessity.
The clinical responsibility includes diagnosing the tic disorder through a comprehensive evaluation of the patient’s history, physical examination, psychiatric evaluation, interviews with family and others, and comparison of symptoms to DSM-5 criteria.The provider should also determine the severity of the tics and develop an appropriate treatment plan, which may involve referring the patient to other specialists or recommending interventions, such as cognitive behavioral therapy or medication.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98)
In simple words: This code describes repetitive movements or sounds (tics) that a person can't control.These tics might be things like blinking, shrugging, or making noises. They're not intentional, but the person can sometimes stop them, though it feels uncomfortable to do so.Doctors diagnose this based on the person's symptoms and history. Treatment may not be needed for mild tics, but severe tics might need therapy or medicine.
Other tic disorders represent a category in the ICD-10-CM classification system for repetitive, involuntary motor movements (e.g., eye blinking, shoulder shrugging) or vocalizations (e.g., repeating words, unintelligible sounds) that don't meet criteria for other specified tic disorders.These tics are not voluntary but can be suppressed, although suppression causes discomfort, leading to the repetition of the movement or vocalization. Diagnosis is based on patient history, physical and psychiatric examinations, and interviews, comparing symptoms to DSM-5 criteria. Treatment depends on severity; mild tics may not require intervention, while severe tics may need cognitive behavioral therapy, antipsychotic medications, or treatment for associated conditions like ADHD or OCD.
Example 1: A 10-year-old boy presents with frequent eye blinking and throat clearing that has been ongoing for six months.These tics are involuntary but can be briefly suppressed. He meets criteria for Other Tic Disorder., A 15-year-old girl reports intermittent shoulder shrugging and sniffing, lasting for more than a year but not meeting criteria for chronic motor or vocal tic disorder. She is diagnosed with Other Tic Disorder., An adult patient exhibits repetitive facial grimacing and vocalizations that don’t fit the criteria of other tic disorders. A psychiatrist performs a thorough evaluation and diagnoses Other Tic Disorder.
Detailed patient history including onset, duration, frequency, and type of tics; results of physical and psychiatric examinations; documentation of attempts at tic suppression and the associated discomfort; exclusion of other tic disorders; and a diagnosis based on DSM-5 criteria.
** This code is for use when the clinical picture does not clearly fit the other, more specific tic disorder codes within the F95 category.Accurate documentation supporting the diagnosis is crucial for proper coding and reimbursement.
- Revenue Code: Revenue codes will vary depending on the specific services provided.
- RVU: RVUs are not directly associated with ICD-10 codes. Reimbursement is based on the services provided and their associated CPT codes.
- Global Days : Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule : Not applicable to ICD-10 codes. Fee schedules are associated with CPT and HCPCS codes.
- Specialties:Psychiatry, Neurology, Pediatrics
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital