What is the ICD-10 code for transgender?

The primary ICD-10 code for transgender is F64.0, which covers transsexualism and gender dysphoria in adolescents and adults.

How do you code hormone therapy for transgender patients?

Use ICD-10 code Z79.890 to document long-term hormone therapy for gender transition.

ICD-10 Coding for Transgender(F64.0, F64.2, F64.9)

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Explore detailed ICD-10 coding guidelines for transgender care, including primary codes, documentation requirements, and common pitfalls.

Also known as:

Gender DysphoriaGender Incongruence

Related ICD-10 Code Ranges

Complete code families applicable to Transgender

F01-F99Primary Range

Mental, Behavioral and Neurodevelopmental disorders

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
F64.0	Transsexualism	Use when the primary reason for the visit is related to gender dysphoria management.	DSM-5 criteria for gender dysphoria Documented duration of at least 6 months
Z79.890	Hormone therapy for gender transition	Use when documenting ongoing hormone therapy as part of gender transition.	Prescription records Monitoring labs (e.g. hormone levels)
Z87.890	Personal history of sex reassignment	Use to document a patient's history of gender-affirming surgeries.	Operative reports confirming prior surgeries

Primary ICD-10-CM Codes

Transsexualism

F64.0Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Gender identity disorder in childrenF64.2

Documentation & Coding Risks

Avoid these common issues when documenting Transgender.

Using outdated terminology like 'gender identity disorder'

Impact

Clinical: Misrepresentation of patient condition., Regulatory: Non-compliance with current coding standards., Financial: Potential claim denials.

Mitigation

Use updated terms like 'gender dysphoria'., Regularly update coding resources.

Using unspecified codes like F64.9

Impact

Reimbursement: Potential claim denials due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Poor data quality and inaccurate patient records.

Mitigation

Query provider for specific diagnosis details.

Not adding F64.0 as a secondary code for gender-specific procedures

Impact

Reimbursement: Claims may be denied due to gender mismatch., Compliance: Failure to comply with coding rules., Data Quality: Inaccurate representation of patient care.

Mitigation

Include F64.0 to bypass gender edits.

Gender-specific procedure coding

Impact

Claims may be denied if gender mismatch is not addressed.

Mitigation

Use appropriate modifiers and condition codes.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with F64.0.

Primary Code

F64.0

Transsexualism

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ICD-10 codes5

Coding risks4

FAQs2

ICD-10 Coding for Transgender(F64.0, F64.2, F64.9)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for transgender?

How do you code hormone therapy for transgender patients?

Related condition guides