Sadomasochism, unspecified

This code represents a paraphilic disorder characterized by recurrent, intense sexually arousing fantasies, urges, or behaviors involving either inflicting pain, humiliation, or bondage on another person (sadism) or experiencing pain, humiliation, or bondage oneself (masochism). The "unspecified" nature indicates that the specific form of sadomasochism is not documented or clearly defined.

Use this code when a patient presents with clinically significant distress or impairment in social, occupational, or other important areas of functioning due to sadomasochistic sexual interests, and the specific type (sadism or masochism) is not specified in the medical record. Documentation should clearly indicate a diagnosis of sadomasochism without further detail.

• Only assign this code when the documentation explicitly states "sadomasochism, unspecified" or similar language indicating the lack of specificity.
• Avoid using this code if the documentation specifies either sexual sadism (F65.51) or sexual masochism (F65.52); use the more specific code instead.
• Ensure the documentation supports that the paraphilia is causing clinically significant distress or impairment, as per DSM-5 criteria for a mental disorder.