2025 ICD-10-CM code F95.9

Tic disorder, unspecified. This code is used when a patient presents with tics but does not meet the criteria for a more specific tic disorder.

Refer to the official ICD-10-CM coding guidelines for specific instructions on coding tic disorders.Ensure appropriate documentation supports the assigned code.

Modifiers may be applicable to procedural codes billed alongside F95.9.Refer to the CPT and HCPCS modifier guidelines for specific information.Consult payer specific guidelines.

Medical necessity is established through proper documentation of the impact of tics on the patient's daily activities and quality of life.Severe tics interfering with school, work, social interactions, or overall well-being may warrant further evaluation and treatment.

The clinical responsibility includes a comprehensive history and physical exam, psychiatric evaluation, and possibly neurological consultation to rule out other conditions.Treatment may involve behavioral therapy, medication management (depending on severity), and referral to other specialists as needed.

IMPORTANT Consider other F95 codes (F95.0, F95.1, F95.2, F95.8) if sufficient information allows for a more specific diagnosis.If the tics are secondary to another condition, code that condition primarily.

In simple words: This code means the doctor saw that the patient has tics (involuntary movements or sounds), but couldn't determine what specific type of tic disorder it is.Tics can range from simple things like eye blinking to more complex movements or sounds.This code is used when more information is needed to give a more precise diagnosis.

F95.9, Tic disorder, unspecified, is an ICD-10-CM code used to classify instances of tic disorders where the specific type of tic disorder cannot be determined or documented.The patient exhibits involuntary, rapid, recurrent, non-rhythmic motor movements or vocalizations, but the presentation does not fit the criteria for transient tic disorder, chronic motor or vocal tic disorder, Tourette's disorder, or other specified tic disorders.This code encompasses a broad range of tic presentations and should be used cautiously, ensuring appropriate documentation supports the clinical picture.Further investigation may be needed to determine a more specific diagnosis.

Example 1: A 10-year-old boy presents with frequent eye blinking and occasional throat clearing for the past three months.The symptoms do not meet criteria for Tourette's Syndrome or chronic tic disorder.F95.9 is assigned., A 16-year-old girl reports intermittent shoulder shrugging and sniffing that started two years ago.She does not exhibit vocal tics consistently.F95.9 is used due to the lack of sufficient information for a more specific diagnosis., An adult patient presents with new onset tics following a head injury.While initially F95.9 might be considered, further investigation may reveal a secondary cause of the tics, necessitating a different primary diagnosis.

Detailed documentation is crucial.The medical record should include the type, frequency, duration, and severity of tics, age of onset, family history of tics, presence of other symptoms (e.g., OCD, ADHD), and any associated medical conditions.The provider should clearly document why a more specific tic disorder diagnosis cannot be assigned.

** F95.9 should be used sparingly.Whenever possible, a more specific diagnosis should be made. This code is for cases where insufficient information prevents the assignment of a more specific code.Always ensure that documentation supports the code assigned.

  • Revenue Code: Revenue codes will vary depending on the place of service and the services provided.Consult your local payer's guidelines for appropriate revenue codes.
  • RVU: RVUs are not directly associated with ICD-10 codes.RVUs are determined by the procedures or services rendered and are specific to CPT codes and HCPCS codes.The reimbursement for the evaluation and management services related to this diagnosis will depend on several factors.
  • 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.Reimbursement is determined by the services rendered and billed with CPT or HCPCS codes.
  • Specialties:Psychiatry, Neurology, Pediatrics
  • Place of Service:Office, Hospital, Outpatient setting, other clinical settings appropriate for evaluation and management of psychiatric conditions.
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