F65.4
F65.4: Pedophilia
Billable / specific codeICD-10-CM
F65.4 is a billable, specific ICD-10-CM code for pedophilia. It is valid for submission on a claim.
Check F65.4 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Pedophilic disorder
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F65.4 is named in 11 Medicare coverage policies: 9 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57052Billing and Coding: Psychiatric Inpatient Hospitalization
Alphabetic index entries that lead here
- Pederosis
- Pedophilia
- Disorder›pedophilic
- Deviation›sexual›pederosis
- Deviation›sexual›pedophilia
Code history
Unchanged in every release from FY2024 to FY2027.