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F65.50

Billable

Sadomasochism, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A psychiatric condition involving sexual arousal from both inflicting and receiving pain, humiliation, or bondage, without specification of which aspect predominates.

Coding Tips

  • Use F65.51 or F65.52 if the specific type (masochism vs sadism) is documented
  • Document whether the behavior is consensual and whether it causes distress or functional impairment

Code Hierarchy

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