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ICD-10 Guide
ICD-10 CodesF52.31

F52.31

Billable

Female orgasmic disorder

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F52.31 is a billable code used to indicate a diagnosis of female orgasmic disorder.

Key Diagnostic Point:

Female 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 various ways, including the inability to achieve orgasm during sexual activity, even when adequate sexual stimulation is present. The disorder may be influenced by psychological factors such as anxiety, depression, or relationship issues, as well as physiological factors like hormonal imbalances or medical conditions. It is essential for healthcare providers to conduct a thorough assessment, including a detailed sexual history and evaluation of any underlying medical or psychological conditions, to accurately diagnose and treat this disorder. Treatment options may include psychotherapy, sexual therapy, or pharmacological interventions, depending on the underlying causes and individual patient needs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive sexual history and psychological evaluation
  • Potential overlap with other sexual dysfunction diagnoses
  • Influence of comorbid conditions (e.g., depression, anxiety)

Audit Risk Factors

  • Inadequate documentation of symptoms and patient history
  • Failure to document the impact on daily functioning
  • Misclassification of the disorder due to overlapping symptoms with other sexual dysfunctions
  • Lack of evidence for treatment interventions provided

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed mental health assessment, including history of sexual function and psychological factors.

Common Clinical Scenarios

Patients presenting with anxiety or depression affecting sexual function.

Billing Considerations

Consideration of medication side effects and their impact on sexual health.

Obstetrics and Gynecology

Documentation Requirements

Comprehensive gynecological history and assessment of hormonal factors.

Common Clinical Scenarios

Patients experiencing orgasmic difficulties post-menopause or after childbirth.

Billing Considerations

Evaluation of physical health and any gynecological conditions that may contribute.

Coding Guidelines

Inclusion Criteria

Use F52.31 When
  • According to ICD
  • 10 coding guidelines, F52
  • 31 should be used when the patient experiences significant distress related to the inability to achieve orgasm
  • It is important to document the duration of symptoms and any contributing factors

Exclusion Criteria

Do NOT use F52.31 When
  • Exclusion criteria include situations where the dysfunction is solely due to a medical condition or substance use

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used when providing therapy for underlying psychological issues contributing to orgasmic disorder.

Documentation Requirements

Document the nature of the therapy and its relation to the sexual dysfunction.

Specialty Considerations

Psychiatrists should ensure thorough documentation of mental health assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including female orgasmic disorder, which helps in better tracking and management of these conditions in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including female orgasmic disorder, which helps in better tracking and management of these conditions in clinical practice.

Reimbursement & Billing Impact

impact of the disorder on their life, and any treatments provided. Clear linkage between diagnosis and treatment is essential for reimbursement.

Resources

Clinical References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Coding & Billing References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Frequently Asked Questions

What are the common causes of female orgasmic disorder?

Common causes include psychological factors such as anxiety and depression, hormonal imbalances, relationship issues, and certain medications that may affect sexual function.