Gender identity disorder in children

This code identifies a persistent and intense distress in a child regarding their assigned sex at birth, accompanied by a strong desire to be of the opposite sex or an insistence that they are the opposite sex. It involves a significant impairment in social, occupational, or other important areas of functioning due to this incongruence.

Use this code when a pediatric patient exhibits a marked incongruence between their experienced/expressed gender and their assigned sex, causing clinically significant distress or impairment. Documentation should clearly indicate the child's age and the presence of gender dysphoria symptoms meeting diagnostic criteria.

• Ensure documentation specifies "in children" to differentiate from adult presentations.
• This code is for diagnostic purposes and does not imply specific treatment modalities.
• Consider co-occurring mental health conditions that may also require coding.