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ICD-10 Guide
ICD-10 CodesN52.34

N52.34

Billable

Erectile dysfunction following simple prostatectomy

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

Code Description

ICD-10 N52.34 is a billable code used to indicate a diagnosis of erectile dysfunction following simple prostatectomy.

Key Diagnostic Point:

Erectile dysfunction (ED) following simple prostatectomy is a common complication that can significantly impact a patient's quality of life. Simple prostatectomy is a surgical procedure performed to remove part or all of the prostate gland, typically to treat benign prostatic hyperplasia (BPH) or prostate cancer. The surgery can lead to nerve damage, reduced blood flow, and hormonal changes, all of which can contribute to the development of ED. Patients may experience varying degrees of erectile dysfunction, from mild difficulties to complete inability to achieve or maintain an erection. The onset of ED can occur immediately after surgery or may develop gradually over time. Management of post-prostatectomy ED may include pharmacological treatments, vacuum erection devices, penile injections, or surgical options such as penile implants. It is essential for healthcare providers to address this issue sensitively, as it can affect the patient's mental health and interpersonal relationships. Comprehensive follow-up care and open communication about sexual health are crucial for improving outcomes and patient satisfaction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of surgical history and complications.
  • Differentiation from other types of erectile dysfunction.
  • Potential overlap with other codes related to sexual dysfunction.
  • Variability in patient responses to treatment and recovery.

Audit Risk Factors

  • Inadequate documentation of the surgical procedure and its complications.
  • Failure to document the onset and severity of erectile dysfunction.
  • Misclassification of erectile dysfunction as primary rather than post-surgical.
  • Lack of follow-up documentation regarding treatment and patient response.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with ED post-prostatectomy, management of complications, and discussions about sexual health.

Billing Considerations

Urologists should ensure thorough documentation of the surgical technique used and any nerve-sparing approaches taken.

Psychiatry

Documentation Requirements

Assessment of the psychological impact of ED, including mental health evaluations.

Common Clinical Scenarios

Patients experiencing anxiety or depression related to sexual dysfunction.

Billing Considerations

Psychiatrists should document the interplay between psychological factors and physical health in managing ED.

Coding Guidelines

Inclusion Criteria

Use N52.34 When
  • According to ICD
  • 10 guidelines, N52
  • 34 should be used when erectile dysfunction is specifically attributed to a prior simple prostatectomy
  • Coders must ensure that the surgical history is well
  • documented and that other potential causes of ED are ruled out

Exclusion Criteria

Do NOT use N52.34 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54400CPT Code

Penile prosthesis implantation

Clinical Scenario

Used for patients with severe ED post-prostatectomy who do not respond to other treatments.

Documentation Requirements

Surgical notes detailing the procedure and indications for implantation.

Specialty Considerations

Urologists should document the patient's history of ED and previous treatments attempted.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like post-surgical ED, improving the accuracy of patient records and facilitating better management strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like post-surgical ED, improving the accuracy of patient records and facilitating better management strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like post-surgical ED, improving the accuracy of patient records and facilitating better management strategies.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the primary cause of erectile dysfunction following simple prostatectomy?

The primary cause is nerve damage that occurs during the surgical procedure, which can affect blood flow and hormonal balance necessary for achieving an erection.