ICD-10 F64.0
Billable / SpecificTranssexualism
About ICD-10-CM F64.0
ICD-10-CM code F64.0 represents Transsexualism. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F64). The 2026 edition of ICD-10-CM F64.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F64.0. Per CMS ICD-10-CM Tabular 2026.
- Gender dysphoria in adolescents and adults
- Gender identity disorder in adolescence and adulthood
- Gender incongruence in adolescents and adults
- Transgender
Type 1 Excludes
Pure excludes, these codes can never be coded together with F64.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- gender identity disorder of childhood (F64.2)
Medicare LCD Coverage for F64.0
Local Coverage Determinations (LCDs) from CMS MACs that list F64.0 as a covered diagnosis.
Showing top 10 of 171 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F64.0.
4 Aetna
3 Cigna
5 Medicare
CPT Codes Commonly Billed with F64.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- J3145 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
- 84403 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
- 84410 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
- J1072 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
- 11980 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
- J1071 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
- J3121 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
Convert F64.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F64.0 | 30250 | 10000 |
| F64.0 | 30251 | 10000 |
| F64.0 | 30252 | 10000 |
| F64.0 | 30253 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F64.0
Other codes in section F60-F69 (Disorders of adult personality and behavior).
ICD-10 F64.0, Billing FAQ
Is ICD-10 code F64.0 billable? +
Yes, F64.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to F64.0? +
ICD-10 F64.0 includes: Gender dysphoria in adolescents and adults; Gender identity disorder in adolescence and adulthood; Gender incongruence in adolescents and adults, and 1 more clinical synonyms.
What codes are Type 1 Excludes for F64.0? +
Type 1 Excludes (never code together with F64.0): gender identity disorder of childhood (F64.2)
What CPT codes are commonly billed with F64.0? +
Procedures frequently paired with F64.0 include: J3145, 84403, 84410, J1072, 11980.
What ICD-9 codes does F64.0 map to? +
Per CMS GEMs, F64.0 maps to ICD-9 codes: 30250, 30251, 30252, 30253. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 17, 2026.
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