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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN52

N52

Billable

Male erectile dysfunction

Chapter 14:Diseases of the genitourinary system

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N52 is a billable code used to indicate a diagnosis of male erectile dysfunction.

Key Diagnostic Point:

Male erectile dysfunction (ED) is a condition characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. This disorder can stem from a variety of causes, including psychological factors such as anxiety and depression, as well as physiological issues like vascular disease, diabetes, hormonal imbalances, and neurological disorders. The prevalence of ED increases with age, but it can affect men of all ages. Diagnosis typically involves a thorough medical history, physical examination, and possibly laboratory tests to identify underlying conditions. Treatment options vary and may include lifestyle changes, oral medications, vacuum erection devices, injections, or surgical interventions. Understanding the multifactorial nature of ED is crucial for effective management and treatment, as it often coexists with other health issues, including cardiovascular disease and metabolic syndrome. Proper coding of this condition is essential for accurate billing and to ensure that patients receive appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (psychological vs. physiological)
  • Potential for co-morbid conditions (e.g., diabetes, cardiovascular disease)
  • Need for comprehensive documentation to support diagnosis
  • Variability in treatment options and their documentation

Audit Risk Factors

  • Inadequate documentation of the underlying cause of ED
  • Failure to document co-existing conditions
  • Misuse of codes related to psychological causes
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, and results of any diagnostic tests.

Common Clinical Scenarios

Evaluation of a patient presenting with ED, management of ED in patients with prostate cancer.

Billing Considerations

Ensure documentation reflects the multifactorial nature of ED and any co-existing conditions.

Psychiatry

Documentation Requirements

Assessment of psychological factors contributing to ED, including mental health history and treatment plans.

Common Clinical Scenarios

Management of ED in patients with anxiety or depression.

Billing Considerations

Document the psychological assessment and any therapeutic interventions provided.

Coding Guidelines

Inclusion Criteria

Use N52 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's etiology
  • Include any relevant co
  • morbidities and specify if the ED is situational or generalized
  • Ensure compliance with payer
  • specific guidelines

Exclusion Criteria

Do NOT use N52 When
No specific exclusions found.

Related CPT Codes

54160CPT Code

Penile prosthesis implantation

Clinical Scenario

Used in cases of severe ED unresponsive to other treatments.

Documentation Requirements

Pre-operative assessment, patient consent, and post-operative follow-up notes.

Specialty Considerations

Urology specialists should document the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of erectile dysfunction, enabling better tracking of the condition and its causes. 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 erectile dysfunction, enabling better tracking of the condition and its causes. This specificity aids in research and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of erectile dysfunction, enabling better tracking of the condition and its causes. This specificity aids in research and treatment planning.

Resources

Clinical References

  • •
    American Urological Association Guidelines on Erectile Dysfunction

Coding & Billing References

  • •
    American Urological Association Guidelines on Erectile Dysfunction

Frequently Asked Questions

What is the difference between N52 and N51?

N52 refers to male erectile dysfunction without specifying the cause, while N51 is used for erectile dysfunction due to organic causes. N52 encompasses both psychological and organic factors.