Ego-dystonic sexual orientation

This code represents a mental health condition where an individual experiences distress or anxiety regarding their sexual orientation, which is perceived as incongruent with their desired ideal self-image. It signifies a conflict between one's actual sexual orientation and their personal values or societal expectations, leading to significant psychological discomfort.

Use this code when documentation clearly indicates a patient's persistent and marked distress or anxiety specifically related to their sexual orientation. This diagnosis is applicable when the individual's sexual orientation itself is the source of ego-dystonic conflict, rather than other aspects of their identity or mental health.

• Ensure documentation explicitly states "ego-dystonic" in relation to sexual orientation, or describes significant distress directly attributable to the patient's sexual orientation.
• Do not confuse with codes for gender identity disorders (e.g., 302.85) or non-specific anxiety/mood disorders, unless the anxiety/mood is a direct result of the ego-dystonic sexual orientation.
• This code is rarely used in contemporary practice due to evolving understanding of sexual orientation and mental health; consider if a more current or specific diagnosis from ICD-10-CM is appropriate if coding for current encounters.