2026 ICD-10-CM Diagnosis Code F65.89Other paraphilias

ICD-10-CM CodesF01–F99F60-F69F65

ICD-10-CM F65.89
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F65.89 is a billable ICD-10-CM diagnosis code for other paraphilias. 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

ICD-10-CM Code
F65.89
Billable Status
Yes — Valid for Submission
Code Describes
Other paraphilias
Short Description
Other paraphilias
Same as the full description in the CMS dataset.
Parent Code
Other paraphilias

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF60-F69Disorders of adult personality and behavior
CategoryF65Paraphilias
This CodeF65.89Other paraphilias

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Asphyxiophilia
  • Bestiality
  • Coprophilia
  • Ecouteurism
  • Erotic interest - finding
  • Erotic vomiting
  • Erotic zoophilia
  • Fetishism
  • Flagellantism
  • Klismaphilia
  • Necrophilia
  • Obscene thoughts
  • Paraphilia involving solitary behavior or consenting individuals
  • Partialism
  • Pygmalionism
  • Sexual licking
  • Sexually abusive behavior
  • Sexually disinhibited behavior
  • Sexually inhibited behavior
  • Sexually obscene thoughts
  • Sexually provocative behavior
  • State of erotic tension
  • Telephone scatologia
  • Thoughts of raping
  • Thoughts of sexual violence
  • Thoughts of violence
  • Urophilia

Tabular List NotesGuidance

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

Inclusion Terms

  • Necrophilia
  • Other specified paraphilic 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.

    • Bestiality
    • Deviation(in)
      • sexual
        • bestiality
    • Deviation(in)
      • sexual
        • multiple
    • Deviation(in)
      • sexual
        • necrophilia
    • Deviation(in)
      • sexual
        • specified type NEC
    • Disorder(of)
      • paraphilic
        • specified NEC
    • Necrophilia
    • Telephone scatologia

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

  • Fetishism

    a disorder characterized by recurrent sexual urges, fantasies, or behaviors involving the use of nonliving objects such as women's wearing apparel (the "fetish").
  • Transvestic Fetishism

    a disorder characterized by recurrent sexual urges, fantasies, or behaviors in a heterosexual male involving cross-dressing.

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 F65.89 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
302.1 Zoophilia
Approximate The match is approximate rather than exact.
ICD-9-CM
302.89 Psychosexual dis NEC
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 F65.89Overview

Is F65.89 (Other paraphilias) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other paraphilias on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of F65.89?

Under the General Equivalence Mappings, other paraphilias converts to ICD-9-CM 302.1 (zoophilia) and 302.89 (psychosexual dis NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.