2026 ICD-10-CM Diagnosis Code F65.4Pedophilia
ICD-10-CM Codes›F01–F99›F60-F69›F65
- Billable — Valid for Submission
- Chronic Condition
F65.4 is a billable ICD-10-CM diagnosis code for pedophilia. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Miscellaneous mental and behavioral disorders/conditions.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Compulsive pedophilia
- Pederasty
- Pedophilia
- Pedophilia targeting children of female sex
- Pedophilia targeting children of male sex
- Pedophilia, exclusive type
- Pedophilia, limited to incest
- Pedophilia, nonexclusive type
- Pedophilia, opposite sex
- Pedophilia, same AND opposite sex
- Pedophilia, same sex
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Pedophilic disorder
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- pederosis - F65.4
- pedophilia - F65.4
- Disorder (of) - See Also: Disease;
- pedophilic - F65.4
- Pederosis - F65.4
- Pedophilia - F65.4
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Deviation(in)
- sexual
- pederosis
- Deviation(in)
- sexual
- pedophilia
- Disorder(of)
- pedophilic
- Pederosis
- Pedophilia
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Pedophilia
a sexual disorder occurring in a person 16 years or older and that is recurrent with intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child (generally age 13 or younger). (from apa, dsm-iv, 1994).Pedophilia
a disorder characterized by recurrent sexual urges, fantasies, or behaviors involving sexual activity with a prepubescent child or children.
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.
Convert F65.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F65.4Overview
Is F65.4 (Paraphilias) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report pedophilia on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What is the ICD-9 equivalent of F65.4?
Under the General Equivalence Mappings, pedophilia converts to ICD-9-CM 302.2 (pedophilia). The mapping is a direct match.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
