ICD-10 Code F65.1 – Transvestic fetishism (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F65.1 – Transvestic fetishism
What it is
F65.1 identifies transvestic fetishism, a paraphilic disorder involving recurrent sexual arousal from cross-dressing. Use this code when the behavior is documented as a clinical diagnosis, not as a style choice or identity expression.
Clinical signs
Clinical features vary; refer to documentation. Standard references describe persistent cross-dressing associated with sexual excitement, distress, or impairment. You should not infer the diagnosis from clothing alone.
When to use this code
Use F65.1 when the provider clearly documents transvestic fetishism or transvestic disorder as the reason for evaluation or treatment. It may also apply when the note describes recurrent sexual arousal linked to cross-dressing with associated distress or functional impact. Check documentation if the record only mentions cross-dressing without a disorder diagnosis.
Do not use for
Do not use this code for gender identity-related cross-dressing, personal expression, or cultural dress. It is also inappropriate when the chart lacks a diagnosed paraphilic condition; check documentation.
Coding tip
Code F65.1 only when the clinician documents the disorder itself, not the behavior alone.