ICD-10 Code F65.4 – Pedophilia (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F65.4 – Pedophilia
What it is
F65.4 identifies pedophilia, a disorder marked by recurrent sexual attraction to prepubertal children. Use this code when the diagnosis is documented and the clinical record supports it.
Clinical signs
Clinical features vary; refer to documentation. Standard references describe persistent, intense sexual fantasies, urges, or behaviors involving prepubertal children, with the person typically at least 16 years old and five years older than the child.
When to use this code
Use F65.4 when the provider explicitly diagnoses pedophilia in the assessment, problem list, or discharge summary. It may also apply when the chart documents a persistent pattern of attraction that meets diagnostic criteria. Check documentation if the record only mentions sexual misconduct without a formal diagnosis.
Do not use for
Do not use this code for general sexual abuse, assault, or unspecified inappropriate behavior without a documented diagnosis. Do not assign it when the record is unclear or when the behavior involves non-prepubertal individuals.
Coding tip
Code only when the diagnosis is stated clearly; if the note is ambiguous, check documentation before assigning F65.4.