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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F64.9

Billable / Specific

Gender identity disorder, unspecified

F64
Block
3
Synonyms
234
LCDs
14
Payer Policies
65
Linked CPTs

About ICD-10-CM F64.9

ICD-10-CM code F64.9 represents Gender identity disorder, unspecified. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F64). The 2026 edition of ICD-10-CM F64.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F64.9. Per CMS ICD-10-CM Tabular 2026.

  • Gender dysphoria, unspecified
  • Gender incongruence, unspecified
  • Gender-role disorder NOS

Medicare LCD Coverage for F64.9

Local Coverage Determinations (LCDs) from CMS MACs that list F64.9 as a covered diagnosis.

234 LCDs

Showing top 10 of 234 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90847 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0560 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0017 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90837 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90792 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90791 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90833 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90845 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90840 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90834 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F64.9.

14 policies

5 Aetna

Endometrial Ablation - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0091
External Breast Prosthesis - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0097
Breast Implant Removal
Policy ID: CPB-0142
Progestins
Policy ID: CPB-0510
Mammography
Policy ID: CPB-0584

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria
Policy ID: ART-53793
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Outpatient Psychiatry and Psychology Services
Policy ID: ART-57065
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-57480
Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Policy ID: ART-57520

CPT Codes Commonly Billed with F64.9

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

65 linkages
  • 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
  • 15820 CMS LCD: Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria CMS LCD
  • 56625 CMS LCD: Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria CMS LCD
  • 21209 CMS LCD: Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria CMS LCD

Convert F64.9 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F64.9 3026 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F64.9, Billing FAQ

Is ICD-10 code F64.9 billable? +

Yes, F64.9 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 F64.9? +

ICD-10 F64.9 includes: Gender dysphoria, unspecified; Gender incongruence, unspecified; Gender-role disorder NOS.

What CPT codes are commonly billed with F64.9? +

Procedures frequently paired with F64.9 include: J3145, 84403, 84410, J1072, 11980.

What ICD-9 codes does F64.9 map to? +

Per CMS GEMs, F64.9 maps to ICD-9 codes: 3026. 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 16, 2026.

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