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F64.2 vs F66

F64.2 (Gender identity disorder of childhood) compared with F66 (Other sexual disorders), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. F64.2 carries an Excludes2 note covering F66: “sexual maturation disorder (F66)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

F64.2Gender identity disorder of childhoodF66Other sexual disorders
Billing statusBillableBillable
ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
DefinitionGender identity disorder of childhood is a billable ICD-10-CM diagnosis code (F64.2).Other sexual disorders is a billable ICD-10-CM diagnosis code (F66).
Includes
Gender dysphoria in children
Gender incongruence of childhood
Sexual maturation disorder
Sexual relationship disorder

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources