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ICD-10 Guide
ICD-10 CodesN52.35

N52.35

Billable

Erectile dysfunction following radiation therapy

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

Code Description

ICD-10 N52.35 is a billable code used to indicate a diagnosis of erectile dysfunction following radiation therapy.

Key Diagnostic Point:

Erectile dysfunction (ED) following radiation therapy is a condition that can arise in male patients who have undergone radiation treatment for pelvic cancers, such as prostate cancer. The mechanism behind this dysfunction is primarily vascular and neurogenic, as radiation can damage the blood vessels and nerves that are crucial for achieving and maintaining an erection. Patients may experience varying degrees of ED, ranging from mild difficulties to complete inability to achieve an erection. The onset of symptoms can occur shortly after treatment or may develop gradually over time. The psychological impact of ED can also be significant, affecting the patient's quality of life and mental health. Treatment options may include pharmacotherapy, vacuum erection devices, or penile implants, depending on the severity of the dysfunction and the patient's overall health status. It is essential for healthcare providers to assess the patient's medical history, the extent of radiation therapy, and any concurrent medical conditions that may contribute to erectile dysfunction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of the relationship between radiation therapy and erectile dysfunction.
  • Differentiation from other causes of erectile dysfunction.
  • Need for comprehensive patient history to establish causality.
  • Potential overlap with other ICD-10 codes related to sexual dysfunction.

Audit Risk Factors

  • Inadequate documentation linking ED to radiation therapy.
  • Failure to document the patient's treatment history accurately.
  • Misclassification of the type of erectile dysfunction.
  • Lack of follow-up documentation regarding treatment outcomes.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, treatment records, and follow-up assessments.

Common Clinical Scenarios

Patients presenting with ED post-prostate cancer treatment.

Billing Considerations

Consideration of other urological conditions that may coexist.

Oncology

Documentation Requirements

Comprehensive records of radiation therapy, including dosage and treatment area.

Common Clinical Scenarios

Patients undergoing treatment for pelvic malignancies experiencing sexual dysfunction.

Billing Considerations

Coordination with urology for management of sexual health post-treatment.

Coding Guidelines

Inclusion Criteria

Use N52.35 When
  • According to ICD
  • 10 guidelines, N52
  • 35 should be used when erectile dysfunction is specifically attributed to radiation therapy
  • Coders must ensure that documentation supports the diagnosis and that the timing of the ED onset is clearly linked to the radiation treatment

Exclusion Criteria

Do NOT use N52.35 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54400CPT Code

Insertion of penile prosthesis

Clinical Scenario

Used for patients with severe ED unresponsive to other treatments.

Documentation Requirements

Detailed surgical notes and pre-operative assessments.

Specialty Considerations

Urology specialists must document the patient's treatment history and rationale for surgery.

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 erectile dysfunction following radiation therapy, improving the accuracy of patient records and treatment plans. This specificity aids in better understanding the prevalence and management of post-treatment sexual health issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like erectile dysfunction following radiation therapy, improving the accuracy of patient records and treatment plans. This specificity aids in better understanding the prevalence and management of post-treatment sexual health issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like erectile dysfunction following radiation therapy, improving the accuracy of patient records and treatment plans. This specificity aids in better understanding the prevalence and management of post-treatment sexual health issues.

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 radiation therapy?

The primary cause is damage to the blood vessels and nerves involved in penile erection due to radiation exposure during cancer treatment.