2020 ICD-10-CM Diagnosis Code F65

Paraphilias

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • F65 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM F65 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of F65 - other international versions of ICD-10 F65 may differ.
The following code(s) above F65 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to F65:
  • F01-F99
    2020 ICD-10-CM Range F01-F99

    Mental, Behavioral and Neurodevelopmental disorders

    Includes
    • disorders of psychological development
    Type 2 Excludes
    • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
    Mental, Behavioral and Neurodevelopmental disorders
Clinical Information
  • 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-iv, 1994)
  • Sexual urges, fantasies, or behaviors generally involving themes of suffering, humiliation, sexual activity with non-consenting partners, or an orientation toward non-human objects for sexual arousal.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to F65:
  • Type 1 Excludes: Z72.5
    ICD-10-CM Diagnosis Code Z72.5

    High risk sexual behavior

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Promiscuity
    Type 1 Excludes
    • paraphilias (F65)
  • Type 2 Excludes: F63
    ICD-10-CM Diagnosis Code F63

    Impulse disorders

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • habitual excessive use of alcohol or psychoactive substances (F10-F19)
    • impulse disorders involving sexual behavior (F65.-)
ICD-10-CM Codes Adjacent To F65
F63.8 Other impulse disorders
F63.81 Intermittent explosive disorder
F63.89 Other impulse disorders
F63.9 Impulse disorder, unspecified
F64 Gender identity disorders
F64.0 Transsexualism
F64.1 Dual role transvestism
F64.2 Gender identity disorder of childhood
F64.8 Other gender identity disorders
F64.9 Gender identity disorder, unspecified
F65 Paraphilias
F65.0 Fetishism
F65.1 Transvestic fetishism
F65.2 Exhibitionism
F65.3 Voyeurism
F65.4 Pedophilia
F65.5 Sadomasochism
F65.50 …… unspecified
F65.51 Sexual masochism
F65.52 Sexual sadism
F65.8 Other paraphilias

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.