F64.2 Gender identity disorder of childhood

ICD10CM code

#### Name of the Condition
- Gender Identity Disorder of Childhood (ICD-10 Code: F64.2)

#### Summary
- Gender Identity Disorder of Childhood refers to a situation where children persistently experience a disconnect between their assigned sex at birth and their experienced or expressed gender. This condition is distinct from normal childhood play that involves cross-gender interests or behaviors.

#### Causes
- The exact causes are not well understood, but it is thought to involve a complex interplay of biological, psychological, and social factors.

#### Risk Factors
- Factors such as a family history of gender incongruence, certain genetic or biological conditions, and psychosocial influences may increase the risk.

#### Symptoms
- A strong desire to be of the other gender or an insistence that they are another gender.
- A strong preference for wearing clothes typical of the opposite gender.
- A strong preference for cross-gender roles in play activities.
- A strong dislike for one's sexual anatomy.

#### Diagnosis
- Diagnosis is typically made through a careful clinical evaluation including behavioral assessments and discussions with both the child and their guardians.

#### Treatment Options
- Treatment often includes psychological support and therapy focused on providing support and understanding the child's experiences. In some cases, social transition or gender-affirmative approaches are considered.

#### Prognosis and Follow-Up
- Outcomes vary; while some children may continue to identify as transgender into adolescence and adulthood, others may not. Regular follow-up is essential for evaluating the child's development and adjusting interventions as needed.

#### Complications
- Without support, children may face mental health challenges such as anxiety, depression, and social difficulties.

#### Lifestyle & Prevention
- An accepting and supportive family environment can play a significant role in the child's mental well-being. Education and open communication are key preventive measures.

#### When to Seek Professional Help
- Concerns about the child’s emotional or psychological distress regarding their gender identity should prompt consultation with healthcare professionals specializing in gender identity or child psychology.

#### Additional Resources
- American Psychological Association (APA)
- World Professional Association for Transgender Health (WPATH)
- Gender Spectrum

#### Tips for Medical Coders
- Accurately identify the age of onset and ensure that the diagnosis is specific to childhood experiences.
- Avoid confusing with gender dysphoria in adolescence or adulthood as the criteria and implications may differ.

Medical Policies and Guidelines for Gender identity disorder of childhood

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