Sexual masochism

This code represents a paraphilic disorder characterized by recurrent, intense sexually arousing fantasies, urges, or behaviors involving being humiliated, beaten, bound, or otherwise made to suffer. The individual experiences significant distress or impairment in social, occupational, or other important areas of functioning due to these urges or behaviors.

Assign this code when a patient meets the diagnostic criteria for sexual masochism, as documented by a mental health professional. This typically involves a persistent pattern of masochistic sexual arousal that causes clinically significant distress or impairment. Documentation should clearly indicate the diagnostic criteria are met, distinguishing it from non-disordered masochistic sexual interests.

• Ensure documentation specifies "sexual masochism" and not merely masochistic tendencies without clinical distress or impairment.
• Differentiate from other paraphilic disorders; avoid confusion with sadism (F65.52).
• Always sequence this code as a primary diagnosis when it is the focus of treatment.