F65.5Sadomasochism
Code usage status
Primary diagnosis
May be used as the primary diagnosis
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Complete code in the classification
Use when the diagnosis matches and no exclusion applies.
- Chapter V
- Mental and behavioural disorders
- Group F60-F69
- Disorders of adult personality and behaviour
- Official Vietnamese name
- Khổ dâm, bạo dâm
- Additional WHO coding guidance
- A preference for sexual activity which involves the infliction of pain or humiliation, or bondage. If the subject prefers to be the recipient of such stimulation this is called masochism; if the provider, sadism. Often an individual obtains sexual excitement from both sadistic and masochistic activities. Masochism Sadism
Related F65 codes
F65
Disorders of sexual preference
F65.0
Primary diagnosis candidate
Fetishism
F65.1
Primary diagnosis candidate
Fetishistic transvestism
F65.2
Primary diagnosis candidate
Exhibitionism
F65.3
Primary diagnosis candidate
Voyeurism
F65.4
Primary diagnosis candidate
Paedophilia
F65.6
Primary diagnosis candidate
Multiple disorders of sexual preference
F65.8
Primary diagnosis candidate
Other disorders of sexual preference
F65.9
Primary diagnosis candidate
Disorder of sexual preference, unspecified
Clinical record checklist
View coding guide →- Confirm that the code matches the final documented diagnosis.
- Use one primary-diagnosis code and record only relevant additional conditions.
- Review Ministry indicators, inclusions, exclusions and notes.
- Do not infer a diagnosis beyond the clinical record.
2026 regulatory basis
Indicators are taken from columns 24–29 of the classification accompanying Circular 06/2026/TT-BYT, cross-referenced with Decision 1849/QĐ-BYT and Official Dispatch 4059/BYT-BH.
