Question 1

What is ICD-10 code F66?

Accepted Answer

F66 is the ICD-10-CM diagnosis code for other sexual disorders. A category for sexual disorders that are not primarily paraphilias, including sexual dysfunction or other sexual concerns not classified elsewhere. F66 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).

F66 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.

This is a broad category; use more specific codes (F52.x for sexual dysfunction) when applicable.

Question 2

Is F66 an HCC code?

Accepted Answer

No. F66 is a billable ICD-10-CM code but does not map to any payment HCC category under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can still be reported on Medicare Advantage encounter data submissions, but it does not contribute to the beneficiary's Risk Adjustment Factor (RAF) score and therefore does not affect the risk-adjusted capitation payment to the plan. V28 reached 100% phase-in for payment year 2026.

Question 3

Is F66 billable?

Accepted Answer

Yes. F66 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F66 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

What is the V28 vs V24 difference for F66?

Accepted Answer

F66 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither model rewards F66 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a payment HCC.

Question 5

What should coders know when reporting F66?

Accepted Answer

This is a broad category; use more specific codes (F52.x for sexual dysfunction) when applicable Document the specific nature of the sexual disorder and any contributing factors

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F66

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F66 ICD-10-CM Code: Other sexual disorders

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F66

Is F66 an HCC code?

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What This Code Means

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Work F66 in HCC Buddy