F64.0
F64.0: Transsexualism
Billable / specific codeICD-10-CM
F64.0 is a billable, specific ICD-10-CM code for transsexualism. It is valid for submission on a claim.
Check F64.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- gender identity disorder of childhood (F64.2)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Gender dysphoria in adolescents and adults
- Gender identity disorder in adolescence and adulthood
- Gender incongruence in adolescents and adults
- Transgender
Other codes that can never be billed with F64.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- F64.2Gender identity disorder of childhood
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F64.0 is named in 8 Medicare coverage policies: 7 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56850Billing and Coding: Psychiatric Partial Hospitalization Programs
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57130Billing and Coding: Psychiatric Codes
Alphabetic index entries that lead here
- Transgender
- Transsexualism
- Disorder›gender incongruence›in adolescents and adults
- Disorder›gender-identity or -role›of adolescence or adulthood
- Dysphoria›gender›in›adolescence and adulthood
Code history
Unchanged in every release from FY2024 to FY2027.