Pathological Gambling Disorder Definition

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Disordered gambling is a general term including both problem gambling and PG while compulsive gambling is the original lay term for PG. Based on gambling preferences, contemporary gamblers have been classified into active and passive gamblers.

Pathological gambling

  • Psychology Definition of PATHOLOGICAL GAMBLING: an impulse-control disorder marked by continual, maladaptive wagering, generating substantial interpersonal, occupational, or money-related troubles.
  • Four phases and four treatment steps have been identified in helping people better understand pathological gambling (also known as gambling addiction). The Four Phases in Gambling Addiction.
  • National Institutes of Health, PubMed Central: “The Biopsychosocial Consequences of Pathological Gambling,” “Impulsivity In Bipolar Disorder: Relationships With Neurocognitive Dysfunction.
  • 'It is no more about sex than an eating disorder is about food or pathological gambling is about money.' Sex addicts, in other words, are not simply people who crave lots of sex.
    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.
Applicable ToDisorder

What Is Pathological Behavior

  • Compulsive gambling
  • Gambling disorder
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means 'not coded here'. A type 1 excludes note indicates that the code excluded should never be used at the same time as F63.0. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • gambling and betting NOS (

    Gambling and betting

      201620172018201920202021Billable/Specific CodePOA Exempt
    Type 1 Excludes
    • compulsive or pathological gambling (F63.0)
    Z72.6)
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents 'not included here'. A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (F63.0) and the excluded code together.
  • 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)
Pathological disorder definition The following code(s) above F63.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • 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
that may be applicable to F63.0:
  • 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
Approximate Synonyms
  • Compulsive gambling
  • Gambling disorder
  • Gambling disorder, in early remission
  • Gambling disorder, in sustained remission
  • Gambling disorder, mild
  • Gambling disorder, moderate
  • Gambling disorder, severe
Clinical Information
  • 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.
DefinitionGamblingICD-10-CM F63.0 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 883 Disorders of personality and impulse control

Convert F63.0 to ICD-9-CM

Code History
  • 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
Code annotations containing back-references to F63.0:
  • 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)
Diagnosis Index entries containing back-references to 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
F60.4 Histrionic personality disorder
F60.6 Avoidant personality disorder
F60.8 Other specific personality disorders

Pathological Disorder Definition

F60.89 Other specific personality disorders
F63 Impulse disorders
Pathological Gambling Disorder Definition
F63.1 Pyromania
F63.3 Trichotillomania
F63.81 Intermittent explosive disorder

Pathological Gambling Disorder Definition

F63.9 Impulse disorder, unspecified

Pathological Gambling Treatment

F64.0 Transsexualism

Pathological Gambling Disorder Definition Psychology

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