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 2027, 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.
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").
Frotteurism
A disorder characterized by recurrent sexual urges, fantasies, or behaviors involving touching the genitals of or rubbing the genitals against a nonconsenting person.
Masochism
Pleasure derived from being physically or psychologically abused, whether inflicted by oneself or by others. Masochism includes sexual masochism.
Paraphilic Disorders
Disorders that include recurrent, intense sexually arousing fantasies, sexual urges, or behaviors generally involving nonhuman objects, suffering of oneself or partners, or children or other nonconsenting partners. (from DSM-V)
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.
Transvestism
Disorder characterized by recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing in a heterosexual male. The fantasies, urges, or behaviors cause clinically significant distress or impairment in social, occupational or other areas of functioning. (from APA, DSM-IV, 1994)
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
Paraphilias involve recurring, intense sexual fantasies, urges, or behaviors generally involving nonhuman objects, suffering, children, or people who do not consent.
The categories name specific conditions: fetishism, transvestic fetishism, exhibitionism, voyeurism, pedophilia, and sadomasochism. F65.5 separates unspecified sadomasochism from sexual masochism and sexual sadism.
F65.8 separates frotteurism from other paraphilias. F65.9 identifies an unspecified paraphilia.
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, 2026 through September 30, 2027. 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 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.
