F64.1 vs F65.1
F64.1 (Dual role transvestism) compared with F65.1 (Transvestic fetishism), 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. F64.1 carries an Excludes2 note covering F65.1: “fetishistic transvestism (F65.1)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| F64.1Dual role transvestism | F65.1Transvestic fetishism | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Dual role transvestism is a billable ICD-10-CM diagnosis code (F64.1). | Transvestic fetishism is a billable ICD-10-CM diagnosis code (F65.1). |
| Includes | — | Fetishistic transvestism Transvestic disorder |
| Use additional code | code to identify sex reassignment status (Z87.890-) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources