ICD-10 Code F65.0 – Fetishism (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F65.0 – Fetishism
What it is
Fetishism is a sexual disorder involving recurrent, intense sexual focus on nonliving objects or highly specific body parts. Use this code when documentation identifies fetishistic arousal as the primary diagnosis.
Clinical signs
Clinical features vary; refer to documentation. Commonly, records note persistent fetish-related arousal, distress, or impaired functioning, and the behavior is not better explained by another condition.
When to use this code
Use F65.0 when the clinician documents fetishism as the diagnosed condition, such as fetishistic interest causing distress or requiring evaluation. Code it from psychiatric or behavioral health documentation, not from a casual mention of preference.
If the note only describes unusual sexual interests without a diagnosis, check documentation before assigning the code. Make sure the provider clearly links the behavior to fetishism.
Do not use for
Do not use this code for ordinary sexual preferences, relationship issues, or nonclinical curiosity. Check documentation if the note instead describes another paraphilic disorder or a different mental health diagnosis.
Coding tip
Assign F65.0 only when the provider documents fetishism as a diagnosis; otherwise, query for clarification.