Transvestic fetishism

This code represents a paraphilic disorder characterized by recurrent, intense sexually arousing fantasies, urges, or behaviors involving cross-dressing. The individual experiences significant distress or impairment in social, occupational, or other important areas of functioning due to these urges or behaviors.

Assign this code when documentation clearly indicates a diagnosis of transvestic fetishism, meeting the diagnostic criteria for a paraphilic disorder. This typically involves a mental health professional's assessment confirming the presence of persistent cross-dressing for sexual arousal accompanied by clinically significant distress or impairment.

• Differentiate from gender dysphoria; transvestic fetishism is for sexual arousal, not identification with the opposite gender.
• Ensure documentation specifies "fetishism" or "paraphilia" in the context of cross-dressing, not merely cross-dressing itself.
• Do not code if the cross-dressing is for entertainment, cultural reasons, or is part of gender identity exploration without sexual arousal and distress/impairment.