ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
DiagnosesTrichotillomania

Trichotillomania

ICD-10 Coding for Trichotillomania(F63.3)

PRIMARY SPECIALTYDermatology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Trichotillomania?
Essential facts and insights about Trichotillomania

Key Clinical Considerations:

  • Recurrent pulling out of one's hair, resulting in hair loss
  • Increased tension before pulling out hair or when trying to resist the behavior
  • Pleasure or relief when pulling out hair
  • Hair loss may be localized or diffuse, often with associated scalp irritation

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of hair pulling behavior and its impact on daily life
  • Assessment of severity and frequency of hair pulling episodes
  • Use of standardized scales (e.g., Yale-Brown Obsessive Compulsive Scale for Trichotillomania)
  • Documentation of any co-occurring mental health disorders

Coding Guidelines

Usage Guidelines & Examples

  • Follow ICD-10 guidelines for specificity in coding Trichotillomania.
  • Common errors include using incorrect codes for related disorders or failing to document co-morbidities.

Code Exclusions

Important Exclusions

  • Other specified obsessive-compulsive and related disorders
  • Hair loss due to medical conditions (e.g., alopecia areata)

Related ICD-10 Codes

Primary Codes
F63.3
Trichotillomania
Ancillary Codes
L98.9
F41.9
Differential Codes
L63.9

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Dermatology

Specialty Applications

  • Adolescents and adults with compulsive hair pulling behavior
  • Dermatology and mental health clinical settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document the patient's history, frequency of hair pulling, and any associated psychological conditions.

What are the billing considerations?

Ensure accurate coding for Trichotillomania and any co-occurring conditions to avoid claim denials.