ICD-10 Code F65.50 – Sadomasochism, unspecified (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F65.50 – Sadomasochism, unspecified
What it is
F65.50 identifies sadomasochism when the documentation does not specify the type or details. Use it for a paraphilic disorder involving sexual arousal linked to pain, humiliation, or dominance themes.
Clinical signs
Clinical features vary; refer to documentation. Typical records describe recurrent sexual interests or behaviors involving sadistic or masochistic themes, with distress, impairment, or other clinically significant concerns when a disorder is diagnosed.
When to use this code
Use this code when the clinician documents sadomasochism without further specification. It is appropriate when the note supports a diagnosis of a paraphilic disorder and does not identify a more specific subtype.
If the record only mentions sexual practices, preferences, or role-play without a disorder diagnosis, check documentation before coding. Code only what the provider clearly states.
Do not use for
Do not use this code for consensual sexual behavior alone, fetishism, or other specified paraphilic disorders. If the diagnosis is more specific or unrelated, choose the documented condition instead.
Coding tip
Look for the exact provider wording and confirm that “unspecified” is supported before assigning F65.50.