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Compare/F63 vs F65

F63 vs F65

F63 (Impulse disorders) compared with F65 (Paraphilias), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. F63 carries an Excludes2 note covering F65: “impulse disorders involving sexual behavior (F65.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

F63Impulse disordersF65Paraphilias
Billing statusNon-billable header

Report instead: F63.0, F63.1, F63.2, F63.3, F63.81

Non-billable header

Report instead: F65.0, F65.1, F65.2, F65.3, F65.4

ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
DefinitionImpulse disorders is a non-billable ICD-10-CM category code (F63).Paraphilias is a non-billable ICD-10-CM category code (F65).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources