Pathological gambling: A review of the neurobiological evidence relevant for its classification as an addictive disorder. Pathological gamblers are unable to cut back on their gambling, despite the fact that it may lead them to lie, steal, or lose a significant relationship, job, or educational opportunity. Many people enjoy gambling, whether it's betting on a horse or playing poker on the internet. Pathological gambling is an uncontrollable compulsive urge to continue gambling despite the financial and social toll it may take on the person's life. The individual may increase his/her gambling habits to the point of financial distress, often sacrificing commitments and responsibilities to get more money and gamble it. Gambling addiction, also referred to as problem gambling or pathological gambling, is marked by intense urges to engage in gambling that is deleterious to the addict’s financial and social well-being. Gambling typically takes place in the context of casino gambling or casino-like online gambling games. Pathological gambling Tabular List of Diseases and Injuries The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized 'head to toe' into chapters and sections with guidance for inclusions, exclusions, descriptions and more.

Pathological gambling

201620172018201920202021Billable/Specific Code

• F63.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2021 edition of ICD-10-CM F63.0 became effective on October 1, 2020.
• This is the American ICD-10-CM version of F63.0 - other international versions of ICD-10 F63.0 may differ.

• Compulsive gambling
• Gambling disorder

• gambling and betting NOS (

  Gambling and betting

  201620172018201920202021Billable/Specific CodePOA Exempt

  Type 1 Excludes

  • compulsive or pathological gambling (F63.0)
  Z72.6)

Pathological Gambling Definition Medical

• excessive gambling by manic patients (

  Manic episode

  201620172018201920202021Non-Billable/Non-Specific Code

  Includes

  • bipolar disorder, single manic episode
  • mixed affective episode

  Type 1 Excludes

  • bipolar disorder (F31.-)
  • major depressive disorder, single episode (F32.-)
  • major depressive disorder, recurrent (F33.-)
  F30,
  ICD-10-CM Diagnosis Code F31

  Bipolar disorder

  201620172018201920202021Non-Billable/Non-Specific Code

  Includes

  • bipolar I disorder
  • bipolar type I disorder
  • manic-depressive illness
  • manic-depressive psychosis
  • manic-depressive reaction

  Type 1 Excludes

  • bipolar disorder, single manic episode (F30.-)
  • major depressive disorder, single episode (F32.-)
  • major depressive disorder, recurrent (F33.-)
  F31)
• gambling in antisocial personality disorder (

  Antisocial personality disorder

  201620172018201920202021Billable/Specific Code

  Applicable To

  • Amoral personality (disorder)
  • Asocial personality (disorder)
  • Dissocial personality disorder
  • Psychopathic personality (disorder)
  • Sociopathic personality (disorder)

  Type 2 Excludes

  • borderline personality disorder (F60.3)
  F60.2)

• Applicable To annotations, or
• Code Also annotations, or
• Code First annotations, or
• Excludes1 annotations, or
• Excludes2 annotations, or
• Includes annotations, or
• Note annotations, or
• Use Additional annotations

• F01-F99
  2021 ICD-10-CM Range F01-F99

  Mental, Behavioral and Neurodevelopmental disorders

  Type 2 Excludes

  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
  Mental, Behavioral and Neurodevelopmental disorders
• F63
  ICD-10-CM Diagnosis Code F63

  Impulse disorders

  201620172018201920202021Non-Billable/Non-Specific Code

  Type 2 Excludes

  • habitual excessive use of alcohol or psychoactive substances (F10-F19)
  • impulse disorders involving sexual behavior (F65.-)
  Impulse disorders

Pathological Gambler Define

• Compulsive gambling
• Gambling disorder
• Gambling disorder, in early remission
• Gambling disorder, in sustained remission
• Gambling disorder, mild
• Gambling disorder, moderate
• Gambling disorder, severe

• A disorder characterized by a preoccupation with gambling and the excitement that gambling with increasing risk provides. Pathological gamblers are unable to cut back on their gambling, despite the fact that it may lead them to lie, steal, or lose a significant relationship, job, or educational opportunity.
• Many people enjoy gambling, whether it's betting on a horse or playing poker on the internet. Most people who gamble don't have a problem, but some lose control of their gambling. Signs of problem gambling include
  • always thinking about gambling
  • lying about gambling
  • spending work or family time gambling
  • feeling bad after you gamble, but not quitting
  • gambling with money you need for other things
  many people can control their compulsive gambling with medicines and therapy. Support groups can also help.

• 883 Disorders of personality and impulse control

Convert F63.0 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change

• Type 1 Excludes: Z72.6
  ICD-10-CM Diagnosis Code Z72.6

  Gambling and betting

  201620172018201920202021Billable/Specific CodePOA Exempt

  Type 1 Excludes

  • compulsive or pathological gambling (F63.0)

• Betting and gamblingZ72.6
  ICD-10-CM Diagnosis Code Z72.6

  Gambling and betting

  201620172018201920202021Billable/Specific CodePOA Exempt

  Type 1 Excludes

  • compulsive or pathological gambling (F63.0)
  • pathological F63.0 (compulsive)
• • gambling F63.0
• Disorder (of) - see also Disease
  • gambling F63.0
• GamblingZ72.6
  ICD-10-CM Diagnosis Code Z72.6

  Gambling and betting

  201620172018201920202021Billable/Specific CodePOA Exempt

  Type 1 Excludes

  • compulsive or pathological gambling (F63.0)
  • pathological F63.0 (compulsive)
• Pathologic, pathological - see also condition
  • gambling F63.0

Pathological Gambling Definition

Pathological Gambling Definition Synonyms

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.