Orgasmic disorder
ICD-10 F52.3 is a billable code used to indicate a diagnosis of orgasmic disorder.
Orgasmic disorder is characterized by a persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase, which causes significant distress or interpersonal difficulty. This condition can manifest in both men and women, although the presentation may differ. In men, it may present as delayed ejaculation, while in women, it may present as anorgasmia. The disorder can be influenced by various factors, including psychological issues such as anxiety, depression, or relationship problems, as well as physiological factors like hormonal imbalances or medication side effects. It is essential to differentiate orgasmic disorder from other sexual dysfunctions, as the treatment approach may vary significantly. Treatment options may include psychotherapy, sex therapy, or medication adjustments, depending on the underlying causes. Accurate diagnosis and coding are crucial for effective treatment and management of the condition.
Detailed mental health history, including any psychological assessments and treatment plans.
Patients presenting with anxiety or depression affecting sexual function.
Consideration of comorbid mental health disorders and their impact on sexual function.
Physical examination findings, hormonal assessments, and any relevant imaging studies.
Men experiencing delayed ejaculation or other sexual dysfunctions.
Assessment of potential physiological causes, including medication side effects.
Used when a patient is receiving therapy for underlying psychological issues contributing to orgasmic disorder.
Document the focus of therapy and any progress made.
Psychiatrists should ensure to address both sexual dysfunction and any comorbid mental health issues.
Orgasmic disorder specifically refers to difficulties in achieving orgasm, while other sexual dysfunctions may involve issues with desire or arousal. Accurate coding requires understanding these distinctions.
