ICD-9-CM procedure code (retired)
64.5 — Operations for sex transformation, not elsewhere classified
About ICD-9-CM 64.5
64.5 is an ICD-9-CM procedure code for operations for sex transformation, not elsewhere classified. ICD-9-CM was retired for U.S. claims on October 1, 2015, when ICD-10-PCS took over.
The CMS General Equivalence Mappings translate it to 8 ICD-10-PCS codes, such as 0W4M070 (Creation of Vagina in Male Perineum with Autologous Tissue Substitute, Open Approach), 0W4M0J0 (Creation of Vagina in Male Perineum with Synthetic Substitute, Open Approach) and 0W4M0K0 (Creation of Vagina in Male Perineum with Nonautologous Tissue Substitute, Open Approach). All of these are approximate matches, so review the record to pick the right one.
ICD-10-PCS equivalents
- 0W4M070Creation of Vagina in Male Perineum with Autologous Tissue Substitute, Open Approachapproximate
- 0W4M0J0Creation of Vagina in Male Perineum with Synthetic Substitute, Open Approachapproximate
- 0W4M0K0Creation of Vagina in Male Perineum with Nonautologous Tissue Substitute, Open Approachapproximate
- 0W4M0Z0Creation of Vagina in Male Perineum, Open Approachapproximate
- 0W4N071Creation of Penis in Female Perineum with Autologous Tissue Substitute, Open Approachapproximate
- 0W4N0J1Creation of Penis in Female Perineum with Synthetic Substitute, Open Approachapproximate
- 0W4N0K1Creation of Penis in Female Perineum with Nonautologous Tissue Substitute, Open Approachapproximate
- 0W4N0Z1Creation of Penis in Female Perineum, Open Approachapproximate
Common questions about 64.5
What is the ICD-10 code for ICD-9 64.5?
- The GEMs map 64.5 to ICD-10-PCS 0W4M070, 0W4M0J0, 0W4M0K0, 0W4M0Z0, 0W4N071, 0W4N0J1 and 2 more.
GEMs are a translation aid, not a substitute for coding from the record. The 2027 ICD-10 code set has changed since the last GEMs release in 2018. Page updated September 29, 2026.