Pedophilia

This code identifies a paraphilic disorder characterized by recurrent, intense sexually arousing fantasies, urges, or behaviors involving sexual activity with a prepubescent child or children. The individual must be at least 16 years old and at least 5 years older than the child(ren) involved, and these urges or behaviors must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Use this code when documentation clearly indicates a diagnosis of pedophilia based on the diagnostic criteria outlined in the DSM-5 or equivalent clinical guidelines. This typically involves a psychiatric evaluation confirming persistent sexual interest in children and associated distress or functional impairment.

• Ensure documentation specifies the age criteria (patient at least 16 years old and at least 5 years older than the child).
• Distinguish from other paraphilic disorders; this code is specific to sexual interest in prepubescent children.
• Always refer to the most recent diagnostic criteria (e.g., DSM-5-TR) for accurate clinical assessment and coding.