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F65.52

Billable

Sexual sadism

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

What This Code Means

A mental health condition where a person experiences sexual arousal or gratification from inflicting pain, suffering, or humiliation on another person. This is a paraphilic disorder that involves deriving pleasure from sadistic acts.

Coding Tips

  • •Ensure documentation clearly indicates the diagnosis of sexual sadism disorder and that it meets DSM-5 criteria (lasting at least 6 months, causing clinically significant distress or impairment)
  • •Do not assume this diagnosis from vague documentation; require explicit clinical assessment and diagnosis from the treating mental health provider

Code Hierarchy

└F65Paraphilias└F65.5Sadomasochism└F65.52Sexual sadism
└F65.52Sexual sadism

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