F64.2: Gender identity disorder of childhood
F64.2 is a billable, specific ICD-10-CM code for gender identity disorder of childhood. It is valid for submission on a claim.
Check F64.2 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 in adolescence and adulthood (F64.0)
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- sexual maturation disorder (F66)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Gender dysphoria in children
- Gender incongruence of childhood
Other codes that can never be billed with F64.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F64.2 is named in 13 Medicare coverage policies: 11 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A53793Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria
- A56937Billing and Coding: Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Psychosexual identity disorder of childhood
- Crisis›psychosexual identity
- Identity disorder›gender role
- Identity disorder›psychosexual
- Disorder›gender incongruence›of childhood
- Disorder›gender-identity or -role›childhood
- Disorder›psychosexual›identity of childhood
- Dysphoria›gender›in›children
Code history
Unchanged in every release from FY2024 to FY2027.