October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

F65 Paraphilias

All 11 codes in the F65 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

11

Can lead a claim

11

Cannot lead a claim

0

What CMS assigns to F65

All 11 codes group to Behavioral Health. None of the 11 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in F65

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
F65.0FetishismCan lead a claimFNone
F65.1Transvestic fetishismCan lead a claimFNone
F65.2ExhibitionismCan lead a claimFNone
F65.3VoyeurismCan lead a claimFNone
F65.4PedophiliaCan lead a claimFNone
F65.5 Sadomasochism
F65.50Sadomasochism, unspecifiedCan lead a claimFNone
F65.51Sexual masochismCan lead a claimFNone
F65.52Sexual sadismCan lead a claimFNone
F65.8 Other paraphilias
F65.81FrotteurismCan lead a claimFNone
F65.89Other paraphiliasCan lead a claimFNone
F65.9Paraphilia, unspecifiedCan lead a claimFNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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