2027 ICD-10-CM Diagnosis Code F65Paraphilias

ICD-10-CM Codes›F01–F99›F60-F69›F65

ICD-10-CM F65
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F65 is a non-billable ICD-10-CM category code for paraphilias, so it cannot be submitted on claims. Use a more specific code from this category instead, such as F65.0, F65.1, F65.2, and F65.3.

Code Identity

ICD-10-CM Code
F65
Billable Status
No — Non-Billable Category
Code Describes
Paraphilias
Short Description
Paraphilias
Same as the full description in the CMS dataset.
Chapter
F60-F69
Disorders of adult personality and behavior

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF60-F69Disorders of adult personality and behavior
CategoryF65Paraphilias
This CodeF65Paraphilias

Specific Coding for ParaphiliasOverview

Non-specific codes like F65 require more characters. Use one of these billable codes instead:

  • Use F65.0 for Fetishism

  • Use F65.1 for Transvestic fetishism

  • Use F65.2 for Exhibitionism

  • Use F65.3 for Voyeurism

  • Use F65.4 for Pedophilia

  • F65.5 for Sadomasochism

  • Use F65.50 for Sadomasochism, unspecified

  • Use F65.51 for Sexual masochism

  • Use F65.52 for Sexual sadism

  • F65.8 for Other paraphilias

  • Use F65.81 for Frotteurism

  • Use F65.89 for Other paraphilias

  • Use F65.9 for Paraphilia, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F65: its own notes plus those printed at Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F65, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming F65: they are not reported together with it, unless the two conditions are unrelated.

  • Z72.5 High risk sexual behavior
    paraphilias (F65)

Excludes2 1

These codes carry an Excludes2 note naming F65: its condition is not part of those codes, and both may be reported when the patient has both.

  • F63 Impulse disorders
    impulse disorders involving sexual behavior (F65.-)

Clinical InformationClinical

  • Paraphilic Disorders

    disorders that include recurrent, intense sexually arousing fantasies, sexual urges, or behaviors generally involving nonhuman objects, suffering of oneself or partners, or children or other nonconsenting partners. (from dsm-v)

Patient EducationClinical

Mental Disorders

Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may happen over a short period of time or come and go. Some can be chronic (long-lasting). They can affect your ability to relate to others and function each day..

The full article covers:

  • What are mental disorders?
  • What are some types of mental disorders?
  • What causes mental disorders?
  • Who is at risk for mental disorders?
  • How are mental disorders diagnosed?
  • What are the treatments for mental disorders?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F65Overview

What is the ICD-10 code for paraphilias?

F65 is the ICD-10-CM category for paraphilias, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is F65 (Paraphilias) a billable code?

No. This is a category header that groups the codes for paraphilias, and headers cannot be submitted on claims. Claims for paraphilias need a more specific code from this category, such as F65.0, F65.1, and F65.2.