Specific code icon 2014 ICD-10-CM Diagnosis Code F64.1

Gender identity disorder in adolescence and adulthood

  • F64.1 is a billable ICD-10-CM code that can be used to specify a diagnosis.
  • On October 1, 2015 ICD-10-CM will replace ICD-9-CM in the United States, therefore, F64.1 and all other ICD-10-CM codes should only be used for training or planning purposes until then.
Clinical Information
  • A disorder characterized by recurrent sexual urges, fantasies, or behaviors in a heterosexual male involving cross-dressing.
  • Disorder characterized by recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing in a heterosexual male. The fantasies, urges, or behaviors cause clinically significant distress or impairment in social, occupational or other areas of functioning. (from apa, dsm-iv, 1994)
  • Severe gender dysphoria, coupled with a persistent desire for the physical characteristics and social roles that connote the opposite biological sex. (apa, dsm-iv, 1994)
  • The act of dressing like and adopting the behavior of the opposite sex, often for sexual gratification.
  • The urge to belong to the opposite sex that may include surgical procedures to modify the sex organs in order to appear as the opposite sex.
Applicable To
  • Dual role transvestism
  • Transsexualism
Description Synonyms
  • Trans sexualism w asexual history
  • Transsexualism w heterosexual HX
  • Transsexualism w homosexual HX
  • Transsexualism, previously asexual
  • Transsexuality with heterosexual history
  • Transsexuality with homosexual history
  • Transvestism
Use Additional
  • code to identify sex reassignment status (Z87.890)
Type 1 Excludes
  • gender identity disorder in childhood (F64.2)
Type 2 Excludes
  • fetishistic transvestism (F65.1)
ICD-10-CM F64.1 is grouped within Diagnostic Related Group (MS-DRG v30.0):
  • 887 Other mental disorder diagnoses
Convert ICD-10-CM F64.1 to ICD-9-CM
The following ICD-10-CM Index entries contain back-references to ICD-10-CM F64.1:
  • Deviation (in)
  • sexual F65.9
    transvestism F64.1
  • Disorder (of) - see also Disease
  • gender-identity or -role F64.9
    of adolescence or adulthood (nontranssexual) F64.1
  • Transsexualism F64.1
  • Transvestism, transvestitism (dual-role) F64.1