F95.0 ICD-10-CM Code: Transient tic disorder
F95.0 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98)
F95.0
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceTransient tic disorder
Involuntary, repetitive movements or sounds (tics) that appear suddenly in a child and last less than one year, often triggered by stress or excitement.
Buddy Insight
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.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
MappedHCC 133
Code-level coefficient reference
Code Book Path
Inclusion Terms
Official- Provisional tic disorder
Excludes 2
Official- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99
Excludes 1
OfficialNo Excludes 1 notes are included in this display for F95.0. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for F95.0. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for F95.0. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for F95.0. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is F95.0 an HCC code?
F95.0 has no mapping under the current CMS-HCC V28 community payment model. F95.0 has a separate mapping under the Part D RxHCC model (HCC 133 (Anxiety and Other Psychiatric Disorders)); the applicable result needs member context.
- Code
- F95.0
- Description
- Transient tic disorder
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work F95.0 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F95.0
For F95.0, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Coder workflow notes
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What This Code Means
F95.0 is the ICD-10-CM diagnosis code for transient tic disorder. Involuntary, repetitive movements or sounds (tics) that appear suddenly in a child and last less than one year, often triggered by stress or excitement. F95.0 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering behavioral and emotional disorders with onset usually occurring in childhood and adolescence (f90-f98).
F95.0 has no mapping under the current CMS-HCC V28 community payment model. F95.0 has a separate mapping under the Part D RxHCC model (HCC 133 (Anxiety and Other Psychiatric Disorders)); the applicable result needs member context. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.
Document the specific type of tic (motor or vocal) and the duration to confirm it is transient.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F95.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
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 year
- •F95.2: Tourette's disorder; Tourette's requires both multiple motor and at least one vocal tic lasting more than one year
- •F98.4: Stereotyped movement disorders; stereotypies are rhythmic and fixed, while tics are sudden, rapid, and nonrhythmic
- •F95.9: Tic disorder, unspecified; use F95.0 when the transient nature is documented