ICD-10 Code F65.8 – Other paraphilias (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Other paraphilias is F65.8.
2026 ICD-10-CM Diagnosis Code F65.8 – Other paraphilias

What it is

F65.8 identifies paraphilic disorders that do not fit a specific named category in ICD-10-CM. It is used for unusual, persistent sexual interests that are clinically significant and documented as “other paraphilias.”

Clinical signs

Clinical features vary; refer to documentation. Commonly, the record describes recurrent atypical sexual urges, fantasies, or behaviors that cause distress, impairment, or involve nonconsenting situations.

When to use this code

Use F65.8 when the clinician documents a paraphilic disorder, but the specific subtype is not separately listed in ICD-10-CM. It may also apply when the chart explicitly states “other paraphilia” or a similar nonspecific diagnosis. Check documentation if the note names a more specific disorder.

Do not use for

Do not use this code for ordinary sexual behavior, relationship problems, or sexual dysfunction without a paraphilic diagnosis. If the condition is a named paraphilia with its own code, select that code instead.

Coding tip

Code only when the provider documents a true paraphilic disorder; if the wording is vague, query for clarification.

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