- F65
- Personality Disorders
Disorders of Sexual Preference (F65)
DSM-5-TR: Paraphilic Disorders
ICD-10-AM and DSM-5-TR may classify conditions differently. Refer to APA and WHO for complete diagnostic criteria.
Key Facts
- ICD-10 RangeF60-F69
- Subcodes9 subcodes
Overview
Disorders of sexual preference (paraphilias) involve recurrent, intense sexually arousing fantasies, urges, or behaviours involving non-human objects, suffering or humiliation, or children or other non-consenting persons.
ICD-10-AM Subcodes
| Code | Name | Description |
|---|---|---|
| F65.0 | Fetishism | Reliance on non-living objects as a stimulus for sexual arousal and gratification. |
| F65.1 | Fetishistic transvestism | Wearing clothes of the opposite sex principally to obtain sexual excitement. |
| F65.2 | Exhibitionism | Recurrent tendency to expose genitalia to strangers in public places. |
| F65.3 | Voyeurism | Recurrent tendency to look at people engaging in sexual or intimate behaviour. |
| F65.4 | Paedophilia | Sexual preference for children of prepubertal or early pubertal age. |
| F65.5 | Sadomasochism | Preference for sexual activity involving bondage, pain, or humiliation. |
| F65.6 | Multiple disorders of sexual preference | More than one paraphilia occurring in the same person. |
| F65.8 | Other disorders of sexual preference | Other specified paraphilias including frotteurism, necrophilia. |
| F65.9 | Disorder of sexual preference, unspecified | Unspecified disorder of sexual preference. |
Classification Boundaries
Includes
- Fetishism
- Exhibitionism
- Voyeurism
- Paedophilia
- Sadomasochism
- Frotteurism
Excludes1 (coded elsewhere)
- Gender identity disorders (F64)
Australian Clinical Context
Managed by forensic psychiatrists and psychologists in Australia. Relevant to the criminal justice system for sex offender treatment programs.
Medicare (MBS) Pathways
Better Access to Mental Health Care
The primary Medicare pathway for mental health treatment in Australia. Requires a GP Mental Health Treatment Plan (MHTP) referral. Available for any clinically diagnosed mental disorder.
10 individual + 10 group sessions per calendar year
| Provider Type | MBS Items | Session Type |
|---|---|---|
| Clinical Psychologist | 80000–80025 | Psychological therapy (higher rebate) |
| Registered Psychologist | 80100–80123 | Focused psychological strategies |
| Occupational Therapist | 80125–80145 | Focused psychological strategies |
| Social Worker | 80150–80175 | Focused psychological strategies |
| Psychiatrist | 291, 296–299, 300–308 | Psychiatric consultation |
GP referral items: 2700, 2701, 2715, 2717
Eligibility: Any clinically diagnosed mental disorder as defined by WHO ICD-10 Chapter V. Requires a GP or psychiatrist referral.
Exclusions:
- Intellectual disability (use Complex Neurodevelopmental Disorder pathway or specialist referral)
- Dementia and organic mental disorders (use specialist referral pathway)
- Tobacco use disorder
Grounded Scribe suggests the right MBS item codes from your recording so you can claim accurately without re-keying.
Reference information sourced from MBS Online (mbsonline.gov.au). Item availability, rebates, and eligibility criteria may change. This is not billing advice — always verify current items before claiming. Last verified: April 2026.
Clinical Documentation Notes
DSM-5-TR distinguishes between paraphilias (atypical sexual interests) and paraphilic disorders (causing distress or impairment, or involving non-consenting persons). Document the specific paraphilia, associated distress, and any risk to others.
Related Diagnostic Codes
ICD-10-AM diagnostic codes commonly associated with the Disorders of Sexual Preference (F65).
References
- World Health Organization. ICD-10-AM.
- American Psychiatric Association. DSM-5-TR. 2022.
This tool calculates scores based on published guidelines for professional reference. It does not provide clinical diagnoses. Scores are provided as reference information only and should be interpreted by a qualified practitioner in the context of a comprehensive assessment.
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