Transvestic fetishism

This code describes a paraphilia characterized by recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing. The individual experiences significant distress or impairment in social, occupational, or other important areas of functioning due to these urges or behaviors. It is distinct from gender identity disorder.

Apply this code when documentation clearly indicates a diagnosis of transvestic fetishism, where cross-dressing is primarily for sexual arousal rather than gender affirmation. Supporting documentation should detail the recurrent nature of the fantasies/urges/behaviors and the associated distress or functional impairment.

• Differentiate carefully from gender identity disorder (e.g., 302.85), where cross-dressing is related to an identification with the opposite gender.
• Ensure the documentation specifies "fetishism" as the primary motivation for cross-dressing, not gender dysphoria.
• This code is for the mental health condition, not simply the act of cross-dressing without associated distress or impairment.