Paraphilia, unspecified
ICD-10 F65.9 is a billable code used to indicate a diagnosis of paraphilia, unspecified.
Paraphilia, unspecified, refers to a condition characterized by atypical sexual interests that may cause distress or impairment in social, occupational, or other important areas of functioning. This diagnosis is used when the specific type of paraphilia is not clearly defined or when the clinician chooses not to specify the nature of the paraphilia. Paraphilias can include a wide range of behaviors, such as fetishism, exhibitionism, voyeurism, and sadomasochism, among others. The condition is often associated with maladaptive behaviors that may lead to legal issues or interpersonal conflicts. Individuals with paraphilias may struggle with impulse control and may exhibit personality disorders, particularly if their behaviors lead to significant distress or dysfunction. The diagnosis of unspecified paraphilia is often a preliminary step in treatment, allowing for further assessment and clarification of the individual's specific interests and behaviors. Clinicians must carefully evaluate the impact of these behaviors on the individual's life and consider co-occurring mental health issues, such as anxiety or depression, which may complicate the clinical picture.
Detailed patient history, including sexual history and any legal issues related to behaviors.
Assessment of patients presenting with distress related to sexual interests or behaviors, including those referred for legal issues.
Consideration of co-occurring mental health disorders and the need for a multidisciplinary approach to treatment.
Comprehensive psychological evaluation, including standardized assessments of sexual interests and behaviors.
Therapeutic interventions for individuals struggling with paraphilic interests that cause distress.
Focus on cognitive-behavioral strategies to address maladaptive behaviors and improve impulse control.
Used for therapy sessions addressing maladaptive sexual behaviors.
Document the focus of therapy, including specific behaviors and their impact on functioning.
Psychiatrists and psychologists should ensure that treatment plans are tailored to the individual's needs.
F65.9 is used when the specific type of paraphilia is not identified, whereas other codes like F65.0 or F65.1 specify particular paraphilic interests. Accurate coding depends on the clinician's assessment and documentation.
