Internet Gaming Disorder

Created Dec 2021

Query

What ICD-10-AM code is assigned for internet gaming disorder?

ICD-11-MMS has created new categories at 6C5 for Disorders due to addictive behaviours. [This is alongside 6C4 Disorders due to substance use].  The categories at 6C5 are 6C50 Gambling disorder and 6C51 Gaming disorder.

As gambling disorder is classified to F63.0 Pathological gambling in ICD-10-AM, would code F63.8 Other habit and impulse disorders be appropriate for internet gaming disorder?  

The other ICD-10-AM code considered was Z72.8 Other problems related to lifestyle, but the Note at the top of category Z72 Problems related to lifestyle category says that these codes are used when there is no disorder in the individual, while the documentation in question uses the word “disorder”.

Response

Yes. Where the clinical documentation is ‘internet/gaming disorder’ and the disorder meets ACS 0001 Principal diagnosis or ACS 0002 Additional diagnoses assign diagnosis code F63.8 Other habit and impulse disorders by following the ICD-10-AM Alphabetic Index:

Disorder
- habit (and impulse) F63.9
- - specified NEC F63.8

If the clinical documentation does not mention ‘disorder’ but states internet/gaming use is a problem and it meets ACS 0001 Principal diagnosis or ACS 0002 Additional diagnoses assign diagnosis code assign Z72.8 Other problems related to lifestyle by following the ICD-10-AM Alphabetic Index:

Problem (related to) (with)
- lifestyle
- - specified NEC Z72.8

Free text should be used on both codes (F63.8 and Z72.8) to specify the condition.