F63.0 — Pathological gambling
Is F63.0 billable?
Yes — F63.0 is billable for FY2027. F63.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F63.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
F63.0 at a glance
| Code | F63.0 |
|---|---|
| Description | Pathological gambling |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F63.0 group to?
F63.0 sits in MDC 19 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 883Disorders of Personality and Impulse Controlmedical
How is F63.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F63.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Betting and gambling › pathological
- Compulsion, compulsive › gambling
- Disorder › gambling (of)
- Gambling › pathological
- Pathologic, pathological › gambling
Excludes1 — never code together
The conditions below can never be reported together with F63.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- gambling and betting NOS (Z72.6)
Excludes2 — not included here
The conditions below are not part of F63.0, but a patient may have both at the same time. When documentation supports it, F63.0 and the excluded code may both be reported.
Inclusion terms
Alternative wording in documentation that is classified to F63.0.
- Compulsive gambling
- Gambling disorder
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F63.0, but a patient may have both at the same time. When documentation supports it, F63.0 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Excludes2 — not included here — inherited from F63
The conditions below are not part of F63.0, but a patient may have both at the same time. When documentation supports it, F63.0 and the excluded code may both be reported.
How long has F63.0 existed?
F63.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with F63.0?
ICD-10-CM declares these codes mutually exclusive with F63.0 — exactly one of each pair can be correct for a given encounter.