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ICD-10 Guide
ICD-10 CodesF65.3

F65.3

Billable

Voyeurism

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F65.3 is a billable code used to indicate a diagnosis of voyeurism.

Key Diagnostic Point:

Voyeurism, classified under F65.3 in the ICD-10, is characterized by the recurrent and intense sexual arousal derived from observing unsuspecting individuals who are naked, undressing, or engaging in sexual activity. This behavior is often considered a paraphilic disorder when it leads to significant distress or impairment in social, occupational, or other important areas of functioning. Individuals with voyeuristic tendencies may struggle with impulse control, often feeling compelled to engage in these behaviors despite potential legal and social repercussions. The condition can be associated with other personality disorders, particularly those involving maladaptive behaviors and difficulties in interpersonal relationships. Treatment may involve psychotherapy, cognitive-behavioral therapy, and, in some cases, pharmacotherapy to manage underlying impulse control issues. Understanding voyeurism requires a nuanced approach that considers the individual's gender identity, as societal norms and personal experiences can significantly influence the expression of these behaviors.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating voyeurism from other paraphilic disorders
  • Understanding the legal implications of voyeuristic behavior
  • Assessing the impact of comorbid personality disorders
  • Navigating the nuances of patient consent and privacy

Audit Risk Factors

  • Inadequate documentation of patient consent
  • Failure to document the impact on daily functioning
  • Lack of clarity in distinguishing voyeurism from other disorders
  • Insufficient detail on treatment plans and patient progress

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including onset, frequency, and context of voyeuristic behaviors.

Common Clinical Scenarios

Patients presenting with distress related to voyeuristic urges or legal issues stemming from these behaviors.

Billing Considerations

Consideration of comorbid mental health conditions and the patient's social environment.

Psychology

Documentation Requirements

Comprehensive psychological assessments and treatment plans that address underlying issues.

Common Clinical Scenarios

Therapeutic settings where patients explore the roots of their voyeuristic tendencies.

Billing Considerations

Focus on behavioral interventions and the patient's motivation for change.

Coding Guidelines

Inclusion Criteria

Use F65.3 When
  • According to the ICD
  • 10 coding guidelines, voyeurism is classified under paraphilic disorders
  • It is essential to document the frequency and context of the behavior, as well as any associated distress or impairment

Exclusion Criteria

Do NOT use F65.3 When
  • Exclusion criteria include behaviors that are consensual or part of a sexual relationship

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used during therapy sessions addressing voyeuristic behaviors.

Documentation Requirements

Document the patient's progress and specific issues discussed during the session.

Specialty Considerations

Psychiatrists should focus on behavioral interventions and coping strategies.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of voyeurism, facilitating better tracking of treatment outcomes and the impact of this disorder on patients' lives. It emphasizes the need for comprehensive documentation and understanding of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of voyeurism, facilitating better tracking of treatment outcomes and the impact of this disorder on patients' lives. It emphasizes the need for comprehensive documentation and understanding of the condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of voyeurism, facilitating better tracking of treatment outcomes and the impact of this disorder on patients' lives. It emphasizes the need for comprehensive documentation and understanding of the condition.

Resources

Clinical References

  • •
    American Psychiatric Association - DSM-5

Coding & Billing References

  • •
    American Psychiatric Association - DSM-5

Frequently Asked Questions

What is the primary treatment for voyeurism?

The primary treatment for voyeurism typically involves psychotherapy, particularly cognitive-behavioral therapy, which focuses on addressing the underlying impulses and developing healthier coping mechanisms.