Paraphilias (F65) ICD-10-CM
The F65 code range covers paraphilias with 14 ICD-10-CM diagnosis codes. 11 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Codes in the F65 Range 14 codes · 11 billable
- F65 ParaphiliasNon-billable
- F65.0 Fetishism
- F65.1 Transvestic fetishism
- F65.2 Exhibitionism
- F65.3 Voyeurism
- F65.4 Pedophilia
- F65.5 SadomasochismNon-billable
- F65.50 Sadomasochism, unspecified
- F65.51 Sexual masochism
- F65.52 Sexual sadism
- F65.8 Other paraphiliasNon-billable
- F65.81 Frotteurism
- F65.89 Other paraphilias
- F65.9 Paraphilia, unspecified
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the F65 range.
Exhibitionism
A disorder in which fantasies about or the act of exposing the genitals to an unsuspecting stranger produces sexual excitement with no attempt at further sexual activity with the stranger.
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).
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.
Voyeurism
A paraphilia characterized by repetitive looking at unsuspecting people, usually strangers, who are either naked, in the act of disrobing, or engaging in sexual activity, as the method for achieving sexual excitement.
About the F65 Code Range
The ICD-10 code section F65 covers paraphilias, a group of mental behavioral disorders involving atypical sexual interests. These codes are specifically used to identify and classify various distinct conditions such as fetishism, exhibitionism, voyeurism, pedophilia, and sadomasochism.
The code F65.0 is for fetishism, also known as symptomatic or true compulsive fetishism, describing sexual arousal linked to objects or body parts. F65.1 denotes transvestic fetishism, commonly called cross-dressing or fetishistic transvestism. Codes like F65.2 for exhibitionism cover behaviors such as flashing or exposing oneself publicly. F65.3 identifies voyeurism, and F65.4 addresses pedophilia, involving persistent sexual interest in children. The sadomasochism category spans F65.5 with subcodes for sexual masochism (F65.51) and sexual sadism (F65.52). Other less common paraphilias and unspecified cases fall under codes F65.8 and F65.9. Using these ICD-10 codes helps healthcare providers accurately report and manage conditions involving unusual or atypical sexual behaviors, facilitating targeted care and appropriate documentation.
Questions About This Page
How many billable codes are in the F65 range?
Of the 14 codes in this range, 11 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the F65 range classify?
The range classifies paraphilias. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
