F64.2 Gender identity disorder of childhood

Billable ICD-10-CM code, FY2026.

Applicable to

• Gender dysphoria in children
• Gender incongruence of childhood

Excludes1 (never code together)

• gender identity disorder in adolescence and adulthood (F64.0)

Excludes2 (not included here)

• sexual maturation disorder (F66)

MS-DRG index

Defines the logic of DRG(s) 887 in MDC 19.

Approximate ICD-9-CM (GEMs)

• 302.6 Gender identity disorder in children (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Pediatric diagnoses (age 0 through 17): Age conflict edit. These diagnoses are clinically expected only in patients age 0 through 17.

Code annotations containing back-references to F64.2

Back-references to F64.2

• Type 1 Excludes: F64.0 Transsexualism ("gender identity disorder of childhood (F64.2)")
• Type 1 Excludes: F64.1 Dual role transvestism ("gender identity disorder in childhood (F64.2)")
• Type 2 Excludes: F93.8 Other childhood emotional disorders ("gender identity disorder of childhood (F64.2)")
• Type 2 Excludes: F98 Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence ("gender identity disorder of childhood (F64.2)")

Diagnosis Index entries for F64.2

• Crisis › psychosexual identity
• Disorder (of) › gender incongruence › of childhood
• Disorder (of) › gender-identity or -role › childhood
• Disorder (of) › psychosexual › identity of childhood
• Dysphoria › gender › in › children
• Identity disorder (child) › gender role
• Identity disorder (child) › psychosexual
• Psychosexual identity disorder of childhood

Nearby codes

• F64 Gender identity disorders
• F64.0 Transsexualism
• F64.1 Dual role transvestism
• F64.2 Gender identity disorder of childhood (this code)
• F64.8 Other gender identity disorders
• F64.9 Gender identity disorder, unspecified