F95.2
BillableTourette's disorder
HCC Category Mapping
RxHCCHCC 133 — Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000What This Code Means
A neurological disorder characterized by multiple involuntary movements and vocal sounds (tics) that occur many times daily, often worsening with stress and significantly affecting quality of life.
Coding Tips
- •Document both motor and vocal tics occurring multiple times daily for diagnosis confirmation
- •Note the age of onset (typically before age 18) and any family history of tics or Tourette's disorder
Clinical Significance
Tourette's disorder (Tourette syndrome) is a neurodevelopmental condition characterized by multiple motor tics and at least one vocal tic that have persisted for more than one year. It typically begins in childhood with a waxing-waning course, often peaking in severity during early adolescence. Tourette's has high rates of comorbid ADHD (60-80%) and OCD (50-60%), which often cause more functional impairment than the tics themselves. Comprehensive management requires addressing both tics and comorbidities.
Documentation Requirements
- ✓Provider documentation of Tourette's syndrome/disorder diagnosis
- ✓Evidence of multiple motor tics AND at least one vocal tic (not necessarily concurrent)
- ✓Documentation that tics have been present for more than one year since first tic onset
- ✓Onset before age 18 years
- ✓Assessment of comorbid ADHD and OCD, current severity, and treatment plan
Commonly Confused Codes
F95.1 — Chronic motor or vocal tic disorder; chronic tic disorder has motor OR vocal tics only, not bothF95.0 — Transient tic disorder; transient tics have been present for less than one yearF42.x — OCD; OCD frequently co-occurs with Tourette's but is a separate diagnosisF95.8 — Other tic disorders; atypical tic presentations not meeting Tourette's criteria