F95.1 — Chronic motor or vocal tic disorder
F95.1 is a billable, specific ICD-10-CM code for chronic motor or vocal tic disorder. It is valid for submission on a claim.
Risk adjustment
F95.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
F95.1 is named in 15 Medicare coverage policies — 14 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
How F95.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F95.1.
- Tic›compulsive
- Tic›psychogenic, compulsive
- Spasm, spastic, spasticity›tic›chronic
- Tic›habit›chronic
- Tic›spasm›chronic
- Tic›disorder›chronic›motor
- Tic›disorder›chronic›vocal
Related codes at this level
Codes that share F95. If F95.1 is not quite right, the correct code is usually one of these.
Questions about F95.1
- Is F95.1 a billable ICD-10-CM code?
- Yes. F95.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F95.1 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98).