F64.9
F64.9: Gender identity disorder, unspecified
Billable / specific codeICD-10-CM
F64.9 is a billable, specific ICD-10-CM code for gender identity disorder, unspecified. It is valid for submission on a claim.
Check F64.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Gender dysphoria, unspecified
- Gender incongruence, unspecified
- Gender-role disorder NOS
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F64.9 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
- A53793Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Identity disorder(child)
- Disorder›gender incongruence
- Disorder›gender-identity or -role
- Dysphoria›gender
- Disorder›psychological›associated with›uncertainty about gender identity
Code history
Unchanged in every release from FY2024 to FY2027.