Gender dysphoria. Individuals with transvestic disorder do not report an incongruence be- tween their experienced gender and assigned gender nor a desire to be of the other gender; and they typically do not have a history of childhood cross-gender behaviors, which would be present in individuals with gender dysphoria. Individuals with a presentation that meets full criteria for transvestic disorder as well as gender dysphoria should be given both diagnoses.
Transvestism (and thus transvestic disorder) is often found in association with other para- philias. The most frequently co-occurring paraphilias are fetishism and masochism. One particularly dangerous form of masochism, au toerotic asphyxia, is associated with transves- tism in a substantial proportion of fatal cases.
302.89 (F65.89)
This category applies to presentations in which symptoms characteristic of a paraphilic disor- der that cause clinically significant distress or impairment in social, occupational, or other im- portant areas of functioning predominate but do not meet the full criteria for any of the disorders in the paraphilic disorders diagnostic class. The other specified paraphilic disorder category is used in situations in which the clinician chooses to communicate the specific reason that the presentation does not meet the criteria for any specific paraphilic disorder. This is done by re- cording “other specified paraphilic disorder’ followed by the specific reason (e.g., “zoophilia”).
Examples of presentations that can be specified using the "other specified" designation include, but are not limited to, recurrent and intense sexual arousal involving telephone scatologia (obscene phone calls), necrophilia (corpses), zoophilia (animals), coprophilia (feces), klismaphilia (enemas), or urophilia (urine) that has been present for at least 6 months and causes marked distress or impairment in social, occupational, or other important ar- eas of functioning. Other specified paraphilic disorder can be specified as in remission and/or as occurring in a controlled environment.
302.9 (F65.9)
This category applies to presentations in which symptoms characteristic of a paraphilic disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the paraphilic disorders diagnostic class. The unspecified paraphilic dis- order category is used in situations in which the clinician chooses not to specify the reason that the criteria are not met for a specific paraphilic disorder, and includes presentations in which there is insufficient information to make a more specific diagnosis.
FOUF disorders are included in this chapter: other specified mental disorder due to another medical condition; unspecified mental disorder due to another medical condition; other specified mental disorder; and unspecified mental disorder. This residual category applies to presentations in which symptoms characteristic of a mental disorder that cause clinically significant distress or impairment in social, occupational, or other important ar- eas of functioning predominate but do not meet the full criteria for any other mental dis- order in DSM—5. For other specified and unspecified mental disorders due to another medical condition, it must be established that the disturbance is caused by the physiolog- ical effects of another medical condition. If other specified and unspecified mental disor- ders are due to another medical condition, it is necessary to code and list the medical condition first (e.g., 042 [820] HIV disease), followed by the other specified or unspecified mental disorder (use appropriate code).
Due to Another Medical Condition 294.8 (F06.8)