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F95.8 ICD-10-CM Code: Other tic disorders

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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)

F95.8

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other tic disorders

A condition characterized by involuntary, repetitive movements or sounds (tics) that don't fit into other specific tic disorder categories, such as motor tics affecting various body parts or vocal tics.

Buddy the Bee presenting code insight

Buddy Insight

This code captures tic disorders that are specifically identified but do not fit the standard categories of transient, chronic motor/vocal, or Tourette's disorder.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

HCC 133

RAF 0.0

Code Trumping

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Code Book Path

Official
F95Tic disorder
F95.8Other tic disorders

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F95.8 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F95.8 in this effective period.

Related Child Codes

Official
F95.0Transient tic disorder
F95.1Chronic motor or vocal tic disorder
F95.2Tourette's disorder
F95.9Tic disorder, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for F95.8 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for F95.8 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F95.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F95.8 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F95.8 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Provider documentation of a tic disorder with atypical features
Description of the specific tics and why they do not fit standard tic disorder categories
Documentation of onset, duration, and course of the tic symptoms
Clinical rationale for using the 'other' category rather than a standard tic disorder code

MEAT Support

HCC Buddy guidance
Provider documentation of a tic disorder with atypical features
Description of the specific tics and why they do not fit standard tic disorder categories
Documentation of onset, duration, and course of the tic symptoms
Clinical rationale for using the 'other' category rather than a standard tic disorder code

Audit Caution

HCC Buddy guidance
Using F95.8 when the presentation fits a standard tic disorder category — prefer specific codes
Confusing F95.8 with F95.9 — F95.8 is for specific atypical presentations, not for unspecified cases
Coding adult-onset tics as F95.8 without excluding medication-induced tics or tardive dyskinesia
Failing to document the specific atypical features that justify the 'other' classification

Common Mistakes

HCC Buddy guidance
F95.0 — Transient tic disorder; for tics present less than one year
F95.1 — Chronic motor or vocal tic disorder; for motor OR vocal tics lasting more than one year
F95.2 — Tourette's disorder; for motor AND vocal tics lasting more than one year
F95.9 — Tic disorder, unspecified; F95.8 requires identified atypical features while F95.9 is truly unspecified

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is F95.8 an HCC code?

No. F95.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

HCC Category Mapping

RxHCCHCC 133, Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000

RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.

MEAT Criteria for F95.8

For F95.8to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

  • 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

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F95.8 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

F95.8 is the ICD-10-CM diagnosis code for other tic disorders. A condition characterized by involuntary, repetitive movements or sounds (tics) that don't fit into other specific tic disorder categories, such as motor tics affecting various body parts or vocal tics. F95.8 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).

F95.8 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

F95.8 does not map to any HCC in V28 or V24 models. RxHCC maps to 133 (0.000). No risk adjustment impact. Coders reviewing F95.8 should check whether additional documentation would support a more specific child code in the same hierarchy that does map to a payment HCC, capturing the correct specificity is the highest-impact RAF improvement available within accurate coding.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F95.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code when the tic disorder doesn't meet criteria for Tourette's syndrome or other specified tic disorders
  • Document the specific type and location of tics to support medical necessity and differentiate from other movement disorders

Clinical Significance

This code captures tic disorders that are specifically identified but do not fit the standard categories of transient, chronic motor/vocal, or Tourette's disorder. This may include tic disorders with atypical features, adult-onset tic disorders, or tic-like presentations associated with specific neurological conditions. Documentation should specify the atypical nature of the presentation.

Documentation Requirements

  • Provider documentation of a tic disorder with atypical features
  • Description of the specific tics and why they do not fit standard tic disorder categories
  • Documentation of onset, duration, and course of the tic symptoms
  • Clinical rationale for using the 'other' category rather than a standard tic disorder code
  • Treatment plan addressing the tic symptoms

Commonly Confused Codes

  • F95.0: Transient tic disorder; for tics present less than one year
  • F95.1: Chronic motor or vocal tic disorder; for motor OR vocal tics lasting more than one year
  • F95.2: Tourette's disorder; for motor AND vocal tics lasting more than one year
  • F95.9: Tic disorder, unspecified; F95.8 requires identified atypical features while F95.9 is truly unspecified

Child Codes

Code Hierarchy

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