as 255.2 [E25.0] congenital adrenal hyperplasia or 259.50 [E34.50] androgen insensi-
tivity syndrome).
Coding note:  Code the disorder of sex development as well as gender dysphoria.
Gender Dysphoria in Adolescents and Adults 302.85 (F64.1)
A. A marked incongruence between one’s experienced/expressed gender and assigned
gender, of at least 6 months’ duration, as manifested by at least two of the following:
1. A marked incongruence between one’s experienced/expressed gender and pri-
mary and/or secondary sex characteristics (or in young adolescents, the antici-
pated secondary sex characteristics).
2. A strong desire to be rid of one’s primary and/or secondary sex characteristics be-
cause of a marked incongruence with one’s experienced/expressed gender (or in
young adolescents, a desire to prevent the development of the anticipated second-
ary sex characteristics).
3. A strong desire for the primary and/or secondary sex characteristics of the other
gender.
4. A strong desire to be of the other gender (or some alternative gender different from
one’s assigned gender).
5. A strong desire to be treated as the ot her gender (or some alternative gender dif-
ferent from one’s assigned gender).
6. A strong conviction that one has the typical feelings and reactions of the other gen-
der (or some alternative gender different from one’s assigned gender).