2027 ICD-10-CM Diagnosis Code F65.4Pedophilia

ICD-10-CM Codes›F01–F99›F60-F69›F65

ICD-10-CM F65.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F65.4 is a billable ICD-10-CM diagnosis code for pedophilia. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 887. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Miscellaneous mental and behavioral disorders/conditions.

Code Identity

ICD-10-CM Code
F65.4
Billable Status
Yes — Valid for Submission
Code Describes
Pedophilia
Short Description
Pedophilia
Same as the full description in the CMS dataset.
Parent Code
F65
Paraphilias

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF60-F69Disorders of adult personality and behavior
CategoryF65Paraphilias
This CodeF65.4Pedophilia

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

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F65.4: 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

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Pedophilic disorder

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 F65.4, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming F65.4: they are not reported together with it, unless the two conditions are unrelated.

  • Z72.5 High risk sexual behavior
    paraphilias (F65) names F65, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming F65.4: 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.-) names F65.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD013
Miscellaneous mental and behavioral disorders/conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

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).

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.

ICD-9-CM
302.2 Pedophilia
Exact Match The mapping is direct, with no qualifiers.

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 F65.4Overview

What is the ICD-10 code for pedophilia?

The ICD-10-CM code for pedophilia is F65.4 (sometimes written as F654). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

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, 2026 through September 30, 2027.

What MS-DRG does F65.4 group to?

When pedophilia is the principal diagnosis on an inpatient stay, it groups to MS-DRG 887 (other Mental Disorder Diagnoses), which carries a relative weight of 1.1154. Higher weights mean higher Medicare reimbursement.

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.