- F64
- Personality Disorders
Gender Identity Disorders (F64)
DSM-5-TR: Gender Dysphoria
ICD-10-AM and DSM-5-TR may classify conditions differently. Refer to APA and WHO for complete diagnostic criteria.
Key Facts
- ICD-10 RangeF60-F69
- Subcodes5 subcodes
- Australian PrevalenceEstimated 0.5-1.2% of the Australian population identifies as transgender or gender diverse.
- Global PrevalencePrevalence estimates vary widely. Recent studies suggest 0.3-0.5% of adults and 1.2-2.7% of adolescents identify as transgender.
Overview
Disorders characterised by a strong and persistent identification with a gender other than the one assigned at birth. ICD-11 has reclassified this as "Gender incongruence" under conditions related to sexual health, removing it from mental and behavioural disorders.
ICD-10-AM Subcodes
| Code | Name | Description |
|---|---|---|
| F64.0 | Transsexualism | Desire to live and be accepted as a member of the opposite sex, usually accompanied by a wish for surgical and hormonal treatment. |
| F64.1 | Dual-role transvestism | Wearing clothes of the opposite sex for part of the individual's existence to enjoy the temporary experience, without desire for permanent sex change. |
| F64.2 | Gender identity disorder of childhood | Persistent and intense distress about assigned sex, with desire to be, or insistence that one is, of the other sex. |
| F64.8 | Other gender identity disorders | Other specified gender identity presentations. |
| F64.9 | Gender identity disorder, unspecified | Gender role disorder NOS. |
Classification Boundaries
Includes
- Gender dysphoria
- Transsexualism
- Gender incongruence (ICD-11 terminology)
Excludes1 (coded elsewhere)
- Sexual maturation disorder (F66.0)
- Fetishistic transvestism (F65.1)
Australian Clinical Context
Gender-affirming care in Australia follows the Australian Standards of Care and Treatment Guidelines for trans and gender diverse children and adolescents (RCH Melbourne). Adult gender-affirming care is available through specialised clinics. Medicare provides rebates for some gender-affirming services. Informed consent models are increasingly used for adult patients.
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.
10 individual + 10 group sessions per calendar year
| 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 |
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
Gender-affirming care may also be accessed through specialist endocrinology and surgical pathways. Medicare covers specialist consultations.
Grounded Scribe suggests the right MBS item codes from your recording so you can claim accurately without re-keying.
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
ICD-11 reclassified gender identity conditions as "Gender incongruence" under sexual health, depathologising it. DSM-5-TR uses "Gender Dysphoria." Use respectful, affirming language. Focus clinical notes on the individual's experience, goals, and any distress, rather than pathologising gender identity.
Frequently Asked Questions
Why is gender identity still classified under mental disorders in ICD-10-AM?
ICD-10-AM was developed before the depathologisation movement. ICD-11 has moved gender incongruence to "Conditions related to sexual health," removing it from mental disorders. Australia still uses ICD-10-AM for clinical coding purposes. The clinical approach in Australia follows affirming, depathologised models.
References
- World Health Organization. ICD-10-AM.
- American Psychiatric Association. DSM-5-TR. 2022.
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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