2026 ICD-10-CM Diagnosis Code F65.52Sexual sadism

ICD-10-CM Codes›F01–F99›F60-F69›F65

ICD-10-CM F65.52
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F65.52 is a billable ICD-10-CM diagnosis code for sexual sadism. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). 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

ICD-10-CM Code
F65.52
Billable Status
Yes — Valid for Submission
Code Describes
Sexual sadism
Short Description
Sexual sadism
Same as the full description in the CMS dataset.
Parent Code
F65.5
Sadomasochism

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF60-F69Disorders of adult personality and behavior
CategoryF65Paraphilias
This CodeF65.52Sexual sadism

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

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Sexual sadism disorder

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Deviation(in)
      • sexual
        • sadism, sadomasochism
    • Disorder(of)
      • sexual
        • sadism
    • Sadism(sexual)

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

  • 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.

  • Sexual Sadism

    a disorder characterized by recurrent sexual urges, fantasies, or behaviors involving acts (real, not simulated) in which the psychological or physical suffering of a victim is sexually exciting to the individual.

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.

ICD-9-CM
302.84 Sexual sadism
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F65.52Overview

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, 2025 through September 30, 2026.

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.

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.