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ICD-10 Guide
ICD-10 CodesF52.32

F52.32

Billable

Male orgasmic disorder

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

Code Description

ICD-10 F52.32 is a billable code used to indicate a diagnosis of male orgasmic disorder.

Key Diagnostic Point:

Male orgasmic disorder is characterized by a marked delay in, or absence of, orgasm following a normal sexual excitement phase. This condition can lead to significant distress or interpersonal difficulties. It is essential to differentiate this disorder from other sexual dysfunctions, such as erectile dysfunction or premature ejaculation, as the underlying causes and treatment approaches may differ. Factors contributing to male orgasmic disorder can include psychological issues, such as anxiety or depression, as well as physiological factors, including hormonal imbalances or neurological conditions. The diagnosis requires a thorough clinical evaluation, including a detailed sexual history and assessment of any coexisting medical or psychological conditions. Treatment options may involve psychotherapy, medication, or a combination of both, tailored to the individual's specific needs and circumstances. Understanding the multifaceted nature of this disorder is crucial for effective management and support.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other sexual dysfunctions
  • Need for comprehensive patient history
  • Potential overlap with psychological conditions
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to document coexisting conditions
  • Lack of evidence for treatment rationale
  • Misclassification of the disorder

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed sexual history, physical examination findings, and any relevant laboratory tests.

Common Clinical Scenarios

Evaluation of male patients presenting with sexual dysfunction complaints, including delayed orgasm.

Billing Considerations

Consideration of hormonal evaluations and potential referrals to mental health professionals.

Psychiatry

Documentation Requirements

Comprehensive psychological assessment, including mental health history and any relevant psychosocial factors.

Common Clinical Scenarios

Management of male patients with sexual dysfunction related to anxiety, depression, or other psychological issues.

Billing Considerations

Coordination with urology for a multidisciplinary approach to treatment.

Coding Guidelines

Inclusion Criteria

Use F52.32 When
  • According to ICD
  • 10 coding guidelines, F52
  • 32 should be used when the male patient experiences significant distress or interpersonal difficulties due to delayed or absent orgasm
  • It is essential to document the duration and severity of symptoms, as well as any coexisting conditions that may contribute to the disorder

Exclusion Criteria

Do NOT use F52.32 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for therapy sessions addressing psychological factors contributing to male orgasmic disorder.

Documentation Requirements

Document the focus of therapy and progress notes.

Specialty Considerations

Psychiatrists should coordinate with urologists for comprehensive care.

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 male orgasmic disorder. This specificity aids in better tracking of treatment outcomes and understanding the prevalence of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including male orgasmic disorder. This specificity aids in better tracking of treatment outcomes and understanding the prevalence of the condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including male orgasmic disorder. This specificity aids in better tracking of treatment outcomes and understanding the prevalence of the condition.

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 male orgasmic disorder?

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