2027 ICD-10-CM Diagnosis Code F65.52Sexual sadism
ICD-10-CM Codes›F01–F99›F60-F69›F65
- Billable — Valid for Submission
- Chronic Condition
F65.52 is a billable ICD-10-CM diagnosis code for sexual sadism. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 887. Coders also document this condition as coercive sexual sadism. 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.
- Coercive sexual sadism
- Compulsive sexual sadism
- Cruel behavior
- Necrosadism
- Sadism
- Sadomasochism
- Sexual sadism
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F65.52: 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.
- 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.
- Sexual sadism 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.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F65.52, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming F65.52: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disorder (of) See Also: Disease;
Sadism (sexual) F65.52
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Sadism
a condition in which there is a derivation of pleasure from inflicting pain, discomfort or humiliation on another person or persons. the sexual significance of sadistic wishes or behavior may be conscious or unconscious.
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 F65.52 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F65.52Overview
What is the ICD-10 code for sexual sadism?
The ICD-10-CM code for sexual sadism is F65.52 (sometimes written as F6552). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is F65.52 (Sadomasochism) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report sexual sadism on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F65.52 group to?
When sexual sadism 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 F65.52?
Under the General Equivalence Mappings, sexual sadism converts to ICD-9-CM 302.84 (sexual sadism). The mapping is approximate, so confirm the match fits the documentation.
