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 Range
F60-F69
Subcodes
9 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 | |
| F65.1 | Fetishistic transvestism | |
| F65.2 | Exhibitionism | |
| F65.3 | Voyeurism | |
| F65.4 | Paedophilia | |
| F65.5 | Sadomasochism | |
| F65.6 | Multiple disorders of sexual preference | |
| F65.8 | Other disorders of sexual preference | |
| F65.9 | Disorder of sexual preference, unspecified |
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.
| 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 |
Clinical Psychologist
Registered Psychologist
Occupational Therapist
Social Worker
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
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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.
Clinical Scoring Calculator — Not a Diagnostic Tool
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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