F95.0
BillableTransient tic disorder
HCC Category Mapping
RxHCCHCC 133 — Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000What This Code Means
Involuntary, repetitive movements or sounds (tics) that appear suddenly in a child and last less than one year, often triggered by stress or excitement.
Coding Tips
- •Document the specific type of tic (motor or vocal) and the duration to confirm it is transient
- •Ensure symptoms have not persisted for more than 12 months to distinguish from chronic tic disorder
Clinical Significance
Transient tic disorder (provisional tic disorder in DSM-5) involves single or multiple motor and/or vocal tics that have been present for less than one year since tic onset. It is extremely common in school-age children, with many cases resolving spontaneously. Distinguishing transient tics from chronic tic disorders and Tourette's is important for avoiding unnecessary treatment and parental anxiety while maintaining appropriate monitoring.
Documentation Requirements
- ✓Provider documentation of tic disorder with onset less than one year prior
- ✓Description of the specific tics (motor and/or vocal) and their frequency
- ✓Documentation that tics have been present for less than 12 consecutive months since first onset
- ✓Age of onset documented (typically between 4-6 years)
- ✓Assessment for comorbid ADHD and OCD, which frequently co-occur with tic disorders
Commonly Confused Codes
F95.1 — Chronic motor or vocal tic disorder; chronic tics persist for more than one yearF95.2 — Tourette's disorder; Tourette's requires both multiple motor and at least one vocal tic lasting more than one yearF98.4 — Stereotyped movement disorders; stereotypies are rhythmic and fixed, while tics are sudden, rapid, and nonrhythmicF95.9 — Tic disorder, unspecified; use F95.0 when the transient nature is documented