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v1.0.0
ICD-10 Guide
ICD-10 CodesF52.8

F52.8

Billable

Other sexual dysfunction not due to a substance or known physiological condition

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

Code Description

ICD-10 F52.8 is a billable code used to indicate a diagnosis of other sexual dysfunction not due to a substance or known physiological condition.

Key Diagnostic Point:

F52.8 encompasses a range of sexual dysfunctions that cannot be attributed to substance use or identifiable physiological conditions. This includes dysfunctions that may arise from psychological factors, such as anxiety, depression, or stress, as well as those linked to behavioral syndromes or eating disorders. Patients may experience issues such as decreased libido, erectile dysfunction, or difficulties with arousal and orgasm. These dysfunctions can significantly impact interpersonal relationships and overall quality of life. It is essential for healthcare providers to conduct thorough assessments to identify underlying psychological or behavioral issues contributing to the dysfunction. Treatment may involve psychotherapy, counseling, or behavioral interventions aimed at addressing the psychological components of sexual dysfunction. Understanding the multifaceted nature of sexual health is crucial for effective management and support for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of psychological and behavioral factors involved
  • Need for comprehensive patient history and assessment
  • Differentiation from other sexual dysfunction codes
  • Potential overlap with mental health diagnoses

Audit Risk Factors

  • Inadequate documentation of psychological assessments
  • Failure to differentiate from substance-induced dysfunctions
  • Lack of clear treatment plans or follow-up
  • Misclassification of sexual dysfunction types

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychological evaluations and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with anxiety or depression affecting sexual function.

Billing Considerations

Consideration of comorbid mental health conditions that may influence sexual health.

Urology

Documentation Requirements

Documentation of physical examinations and any relevant lab results.

Common Clinical Scenarios

Men experiencing erectile dysfunction without clear physiological causes.

Billing Considerations

Need to rule out physiological causes before coding F52.8.

Coding Guidelines

Inclusion Criteria

Use F52.8 When
  • According to ICD
  • 10 guidelines, F52
  • 8 should be used when sexual dysfunction is not attributable to a substance or known physiological condition
  • Documentation must clearly indicate the absence of such causes and detail the psychological or behavioral factors involved

Exclusion Criteria

Do NOT use F52.8 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 sexual dysfunction.

Documentation Requirements

Document the focus on sexual health and any psychological assessments.

Specialty Considerations

Psychiatrists should ensure comprehensive evaluations are included.

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, enabling better tracking of psychological factors contributing to these conditions. This specificity aids in research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, enabling better tracking of psychological factors contributing to these conditions. This specificity aids in research and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, enabling better tracking of psychological factors contributing to these conditions. This specificity aids in research and treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of sexual dysfunction are included under F52.8?

F52.8 includes various sexual dysfunctions that are not attributable to physiological causes or substance use, such as decreased libido, erectile dysfunction, and difficulties with arousal or orgasm, often linked to psychological or behavioral factors.