Exhibitionism

This code represents a paraphilic disorder characterized by recurrent, intense sexual urges, fantasies, or behaviors involving the exposure of one's genitals to an unsuspecting stranger. The individual typically experiences sexual arousal from the act of shocking or surprising the observer, without intending further sexual activity with the exposed person.

Assign this code when documentation clearly indicates a diagnosis of exhibitionism, a paraphilia involving intentional public exposure of genitals for sexual gratification. Supporting documentation should detail the recurrent nature of these urges or behaviors and the distress or impairment caused to the individual, or the risk posed to others.

• Ensure the documentation specifies a diagnosable paraphilia, not just isolated instances of indecent exposure without the underlying sexual gratification component.
• Distinguish from other paraphilias; this code is specific to the act of genital exposure to unsuspecting strangers.
• Consider co-occurring mental health conditions, as paraphilias can sometimes be associated with other psychiatric diagnoses.