F64.0 — Transsexualism
Is F64.0 billable?
Yes — F64.0 is billable for FY2027. F64.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F64.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
F64.0 at a glance
| Code | F64.0 |
|---|---|
| Description | Transsexualism |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F64.0 group to?
F64.0 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.
- 887Other Mental Disorder Diagnosesmedical
How is F64.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F64.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Transgender
- Transsexualism
- Disorder › gender incongruence › in adolescents and adults (of)
- Disorder › gender-identity or -role › of adolescence or adulthood (of)
- Dysphoria › gender › in › adolescence and adulthood
Excludes1 — never code together
The conditions below can never be reported together with F64.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- gender identity disorder of childhood (F64.2)
Inclusion terms
Alternative wording in documentation that is classified to F64.0.
- Gender dysphoria in adolescents and adults
- Gender identity disorder in adolescence and adulthood
- Gender incongruence in adolescents and adults
- Transgender
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F64.0, but a patient may have both at the same time. When documentation supports it, F64.0 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
How long has F64.0 existed?
F64.0 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
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 F64.0?
ICD-10-CM declares these codes mutually exclusive with F64.0 — exactly one of each pair can be correct for a given encounter.