F65.1 Transvestic fetishism

ICD10CM code

#### Name of the Condition
- Transvestic Fetishism
- ICD-10 Code: F65.1

#### Summary
Transvestic fetishism is a condition characterized by persistent and intense sexual arousal from dressing in clothing traditionally associated with the opposite gender. This condition is categorized under paraphilic disorders, where the behavior might cause significant distress or impairment in social, occupational, or other important areas of functioning.

#### Causes
The exact cause of transvestic fetishism is not well understood. It may involve a combination of psychological, biological, and social factors.

#### Risk Factors
- Gender: More commonly observed in males.
- Personal or family history of other paraphilic disorders.
- Early exposure to cross-dressing behaviors.

#### Symptoms
- Recurrent and intense sexual arousal from cross-dressing.
- Significant distress or problems in daily life due to cross-dressing.
- Desire or actions involving wearing clothing of the opposite gender, often concealed from others.

#### Diagnosis
Diagnosis is typically made through a detailed clinical interview and assessment, focusing on the nature and impact of the behavior, its persistence, and the level of distress or impairment it causes.

#### Treatment Options
- **Psychotherapy:** Cognitive-behavioral therapy (CBT) can help manage distress and behavior.
- **Medications:** Antidepressants or other psychiatric medications may be prescribed if there are co-occurring mental health issues.
- **Support Groups:** Joining communities can offer understanding and shared experiences.

#### Prognosis and Follow-Up
With appropriate treatment, individuals can manage symptoms effectively. Regular follow-ups with mental health professionals can help track progress and adjust treatment as needed.

#### Complications
If ignored, transvestic fetishism can lead to significant distress, relationship issues, or social isolation.

#### Lifestyle & Prevention
- Awareness and understanding of personal triggers.
- Building healthy coping mechanisms and support systems.
- Engaging in open communication with partners or loved ones.

#### When to Seek Professional Help
- When feelings of distress or dysfunction disrupt daily life.
- If there's difficulty controlling the impulse to cross-dress.
- When related mood disorders or anxiety arises.

#### Additional Resources
- The American Psychological Association: [apa.org](https://www.apa.org)
- World Professional Association for Transgender Health: [wpath.org](https://www.wpath.org)
- Mental Health America: [mhanational.org](https://www.mhanational.org)

#### Tips for Medical Coders
- Ensure the condition is documented under F65.1 for transvestic fetishism.
- Verify associated distress or impairment is described as part of the clinical diagnosis process.
- Be cautious of coding errors related to other paraphilic disorders or gender dysphoria.

Medical Policies and Guidelines for Transvestic fetishism

Related policies from health plans

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