F65.89 ICD-10-CM Code: Other paraphilias
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Disorders of adult personality and behavior (F60-F69)
F65.89
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther paraphilias
This code describes sexual interests or behaviors that are atypical or unusual and don't fit into other specific paraphilia categories. These are persistent patterns of sexual arousal to objects, situations, fantasies, or behaviors that are considered outside the norm.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Necrophilia
- Other specified paraphilic disorder
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F65.89 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F65.89 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for F65.89 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F65.89 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F65.89 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F65.89 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is F65.89 an HCC code?
No. F65.89 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F65.89 is the ICD-10-CM diagnosis code for other paraphilias. This code describes sexual interests or behaviors that are atypical or unusual and don't fit into other specific paraphilia categories. These are persistent patterns of sexual arousal to objects, situations, fantasies, or behaviors that are considered outside the norm. F65.89 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering disorders of adult personality and behavior (f60-f69).
F65.89 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code only when the paraphilia doesn't meet criteria for more specific codes (F65.0-F65.8), such as voyeurism, exhibitionism, or frotteurism.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F65.89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the paraphilia doesn't meet criteria for more specific codes (F65.0-F65.8), such as voyeurism, exhibitionism, or frotteurism
- •Ensure documentation clearly describes the specific paraphilic interest and that it causes clinically significant distress or impairment to justify coding