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  2. ICD-10-CM Codes List
  3. F01–F99
  4. F60-F69
  5. Paraphilias (F65)

Paraphilias (F65)

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.

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

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.