Other paraphilias

This code represents paraphilic disorders that do not fit into other specific categories of paraphilias. It is used when a patient exhibits recurrent, intense sexually arousing fantasies, urges, or behaviors involving unusual objects, activities, or situations that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning, and the specific paraphilia is not otherwise classified.

Use this code when documentation clearly indicates a paraphilic disorder that does not meet the criteria for a more specific F65.- code (e.g., voyeurism, exhibitionism, frotteurism, sexual masochism, sexual sadism, pedophilia, fetishism, transvestic fetishism). The medical record should detail the specific nature of the paraphilic interest and the associated distress or impairment.

• Ensure the documentation explicitly rules out more specific paraphilic diagnoses before assigning this code.
• This code requires clear clinical evidence of distress or impairment caused by the paraphilic interest.
• Do not use this code for non-disordered sexual interests or preferences that do not cause distress or impairment.