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ICD-10-CM 2027

ICD-10 code for masochism

F65.51

Sexual masochism

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Masochism (sexual)”. Page updated September 29, 2026.

About coding masochism

The ICD-10-CM code for masochism is F65.51 (Sexual masochism).

Within F65.5 (Sadomasochism), F65.51 is specifically for sexual masochism. Related codes cover unspecified (F65.50) and sexual sadism (F65.52).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 887 (Other Mental Disorder Diagnoses, relative weight 1.1139), in MDC 19 (Mental Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about masochism ICD-10 codes

What is the ICD-10 code for masochism?

F65.51 — Sexual masochism.

Is F65.51 billable?

Yes. F65.51 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can F65.51 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict F65.51 as a principal diagnosis.

Is F65.51 a CC or MCC?

No. F65.51 is neither a CC nor an MCC under MS-DRG v44.0.