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ICD-10 Guide
ICD-10 CodesN52.3

N52.3

Billable

Postprocedural erectile dysfunction

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

Code Description

ICD-10 N52.3 is a billable code used to indicate a diagnosis of postprocedural erectile dysfunction.

Key Diagnostic Point:

Postprocedural erectile dysfunction refers to the inability to achieve or maintain an erection sufficient for satisfactory sexual performance following a surgical procedure. This condition can arise after various medical interventions, including prostate surgery, penile surgery, or pelvic surgeries that may affect the nerves and blood vessels involved in erectile function. The pathophysiology often involves nerve damage, vascular compromise, or psychological factors stemming from the surgical experience. Patients may experience varying degrees of erectile dysfunction, which can significantly impact their quality of life and psychological well-being. Treatment options may include pharmacotherapy, vacuum erection devices, or penile implants, depending on the severity and underlying causes. Accurate coding of this condition is crucial for appropriate management and reimbursement, as it reflects the complexity of care required for affected patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of surgical procedures leading to erectile dysfunction
  • Need for detailed patient history to establish causation
  • Potential overlap with other forms of erectile dysfunction
  • Documentation of pre-existing conditions affecting sexual health

Audit Risk Factors

  • Inadequate documentation linking the procedure to erectile dysfunction
  • Failure to document pre-existing erectile dysfunction
  • Misclassification of the type of erectile dysfunction
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed surgical notes, patient history, and follow-up assessments.

Common Clinical Scenarios

Post-prostatectomy erectile dysfunction, penile reconstruction surgery.

Billing Considerations

Consideration of nerve-sparing techniques and patient counseling on sexual health.

Psychiatry

Documentation Requirements

Assessment of psychological factors contributing to erectile dysfunction.

Common Clinical Scenarios

Psychogenic erectile dysfunction following surgical trauma.

Billing Considerations

Integration of psychological evaluations with urological assessments.

Coding Guidelines

Inclusion Criteria

Use N52.3 When
  • Follow ICD
  • CM guidelines for coding postprocedural complications
  • Ensure accurate documentation of the surgical procedure and its direct impact on erectile function

Exclusion Criteria

Do NOT use N52.3 When
  • Exclude other causes of erectile dysfunction unless they are documented as coexisting conditions

Related ICD-10 Codes

Related CPT Codes

54400CPT Code

Penile prosthesis implantation

Clinical Scenario

Used for patients with severe erectile dysfunction post-surgery.

Documentation Requirements

Surgical notes, patient consent, and pre-operative evaluations.

Specialty Considerations

Urologists must 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 postprocedural complications, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of postprocedural complications, improving the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 is the primary cause of postprocedural erectile dysfunction?

The primary cause is often nerve damage or vascular injury resulting from surgical procedures affecting the pelvic region.