Coding and coverage · ICD-10-CM

F64

F64.0 Transsexualism

BillableNo payment HCCChapter 5
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Instructional notes

Chapter 5

Excludes2Not included here: the patient may have both; report both when both are present.
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
  • disorders of psychological development

This code

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • gender identity disorder of childhood (F64.2)
Inclusion terms
  • Gender dysphoria in adolescents and adults
  • Gender identity disorder in adolescence and adulthood
  • Gender incongruence in adolescents and adults
  • Transgender

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F60-F69 Disorders of adult personality and behavior (F60-F69)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.