Habit and Impulse Disorders (F63)
DSM-5-TR: Disruptive, Impulse-Control, and Conduct Disorders / Gambling Disorder
ICD-10-AM and DSM-5-TR may classify conditions differently. Refer to APA and WHO for complete diagnostic criteria.
Key Facts
ICD-10 Range
F60-F69
Subcodes
6 subcodes
Australian Prevalence
Problem gambling affects approximately 0.5-1% of Australian adults. Australia has one of the highest per capita gambling losses globally. Trichotillomania affects approximately 1-3%.
Global Prevalence
Problem gambling affects approximately 0.5-3% of adults worldwide. Kleptomania prevalence approximately 0.3-0.6%.
Overview
Disorders of behaviour that are not classifiable under other categories. They are characterised by repeated acts that have no clear rational motivation, cannot be controlled by the individual, and generally harm the individual's own interests or those of others.
ICD-10-AM Subcodes
| Code | Name | Description |
|---|---|---|
| F63.0 | Pathological gambling | |
| F63.1 | Pathological fire-setting (pyromania) | |
| F63.2 | Pathological stealing (kleptomania) | |
| F63.3 | Trichotillomania | |
| F63.8 | Other habit and impulse disorders | |
| F63.9 | Habit and impulse disorder, unspecified |
Classification Boundaries
Includes
- Pathological gambling
- Pyromania
- Kleptomania
- Trichotillomania
- Intermittent explosive disorder
Excludes1 (coded elsewhere)
- Gambling and betting NOS (Z72.6)
- Stealing in context of conduct disorder (F91)
- Excessive use of alcohol or drugs (F10-F19)
Australian Clinical Context
Pathological gambling is a significant issue in Australia, which has one of the highest gambling rates globally. State-based gambling help services and the national Gambling Helpline (1800 858 858) provide support. Self-exclusion programs are available. Kleptomania and pyromania are managed through specialist psychological services.
Medicare (MBS) Pathways
Better Access to Mental Health Care
The primary Medicare pathway for mental health treatment in Australia. Requires a GP Mental Health Treatment Plan (MHTP) referral. Available for any clinically diagnosed mental disorder.
| Provider Type | MBS Items | Session Type |
|---|---|---|
| Clinical Psychologist | 80000–80025 | Psychological therapy (higher rebate) |
| Registered Psychologist | 80100–80123 | Focused psychological strategies |
| Occupational Therapist | 80125–80145 | Focused psychological strategies |
| Social Worker | 80150–80175 | Focused psychological strategies |
| Psychiatrist | 291, 296–299, 300–308 | Psychiatric consultation |
Clinical Psychologist
Registered Psychologist
Occupational Therapist
Social Worker
GP referral items: 2700, 2701, 2715, 2717
Eligibility: Any clinically diagnosed mental disorder as defined by WHO ICD-10 Chapter V. Requires a GP or psychiatrist referral.
Exclusions:
- Intellectual disability (use Complex Neurodevelopmental Disorder pathway or specialist referral)
- Dementia and organic mental disorders (use specialist referral pathway)
- Tobacco use disorder
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Reference information sourced from MBS Online (mbsonline.gov.au). Item availability, rebates, and eligibility criteria may change. This is not billing advice — always verify current items before claiming. Last verified: April 2026.
Clinical Documentation Notes
DSM-5-TR reclassified pathological gambling as "Gambling Disorder" under "Substance-Related and Addictive Disorders" (no longer impulse control). Trichotillomania is classified under OCD-related disorders in DSM-5-TR. Document the specific behaviour, frequency, consequences, and any associated distress.
Related Diagnostic Codes
ICD-10-AM diagnostic codes commonly associated with the Habit and Impulse Disorders (F63).
References
- World Health Organization. ICD-10-AM.
- American Psychiatric Association. DSM-5-TR. 2022.
Clinical Scoring Calculator — Not a Diagnostic Tool
This tool calculates scores based on published guidelines for professional reference. It does not provide clinical diagnoses. Scores are provided as reference information only and should be interpreted by a qualified practitioner in the context of a comprehensive assessment.
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