Gender identity disorder, unspecified
ICD-10 F64.9 is a billable code used to indicate a diagnosis of gender identity disorder, unspecified.
Gender identity disorder, unspecified (F64.9) refers to a condition where an individual experiences a marked incongruence between their experienced or expressed gender and the gender assigned at birth. This diagnosis is characterized by a persistent desire to be of the opposite gender or an insistence that one is of the opposite gender, which may manifest in various ways, including clothing choices, behavior, and social interactions. The condition can lead to significant distress or impairment in social, occupational, or other important areas of functioning. It is essential to note that this diagnosis is not limited to individuals who seek medical interventions such as hormone therapy or surgery. The unspecified designation indicates that the clinician has not specified the type of gender identity disorder, which may include aspects of gender dysphoria or other related concerns. Clinicians must conduct thorough assessments to differentiate this disorder from other mental health conditions, including personality disorders and impulse control disorders, as maladaptive behaviors may co-occur. Accurate diagnosis and coding are crucial for appropriate treatment planning and insurance reimbursement.
Detailed mental health assessments, including history of gender identity concerns, psychosocial factors, and any co-occurring disorders.
Initial evaluations for gender dysphoria, ongoing therapy for individuals exploring gender identity, and assessments for hormone therapy eligibility.
Clinicians should be aware of the evolving language and understanding of gender identity to ensure respectful and accurate documentation.
Clinical evaluations for hormone therapy, including informed consent and assessment of mental health status.
Patients seeking hormone replacement therapy as part of gender transition.
Endocrinologists must collaborate with mental health professionals to ensure comprehensive care and documentation of the patient's mental health status.
Used when conducting a comprehensive assessment for gender identity disorder.
Document the assessment findings, including history and mental status examination.
Psychiatrists should ensure that the assessment aligns with current standards for gender identity evaluations.
F64.9 is used for unspecified gender identity disorder, while F64.0 specifically refers to transsexualism, where there is a strong desire to transition to the opposite gender, often with medical interventions.
Yes, F64.9 can be used for children, but it is essential to consider F64.1, which specifically addresses gender identity disorder in childhood.
