F65.89: Other paraphilias

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F65.89 is named in 9 Medicare coverage policies: 7 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
• A57052Billing and Coding: Psychiatric Inpatient Hospitalization
• A57053Billing and Coding: Psychiatric Partial Hospitalization Programs