ICD-10 Code F65.89 – Other Paraphilias (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F65.89 – Other paraphilias
What it is
F65.89 identifies paraphilic disorders that do not fit a more specific ICD-10-CM category. Use it for clinically significant atypical sexual interests when documentation supports a diagnosis of “other paraphilia.”
Clinical signs
Clinical features vary; refer to documentation. Records may describe recurrent, intense, or distressing sexual urges, fantasies, or behaviors that cause impairment, distress, or risk to others.
When to use this code
Use this code when the clinician documents a paraphilic disorder but does not name a more specific subtype. It may also apply when the chart states “other paraphilia” or gives an atypical pattern not listed elsewhere in ICD-10-CM.
Check documentation for diagnostic wording and whether the behavior is persistent and clinically significant. Do not infer the diagnosis from isolated sexual behavior alone.
Do not use for
Do not use this code for normal sexual variation, nonparaphilic sexual dysfunction, or unspecified sexual concerns. If the record identifies a different paraphilic disorder, code that more specific diagnosis instead.
Coding tip
Code F65.89 only when the provider clearly documents “other paraphilia” or equivalent language and no more specific paraphilic code applies.