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ICD-10 Guide
ICD-10 CodesN52.36

N52.36

Billable

Erectile dysfunction following interstitial seed therapy

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

Code Description

ICD-10 N52.36 is a billable code used to indicate a diagnosis of erectile dysfunction following interstitial seed therapy.

Key Diagnostic Point:

Erectile dysfunction (ED) following interstitial seed therapy, commonly used in the treatment of prostate cancer, is a condition where a patient experiences difficulty achieving or maintaining an erection after undergoing this specific form of radiation therapy. Interstitial seed therapy involves the implantation of radioactive seeds directly into the prostate gland, which can lead to various side effects, including ED. The pathophysiology of ED in this context may involve vascular damage, nerve injury, or hormonal changes resulting from the treatment. Patients may report a gradual onset of erectile difficulties, which can significantly impact their quality of life and psychological well-being. It is essential for healthcare providers to assess the severity of ED, explore potential underlying causes, and discuss treatment options, which may include pharmacotherapy, vacuum erection devices, or penile implants. Accurate coding of this condition is crucial for appropriate reimbursement and to ensure that patients receive comprehensive care for their sexual health needs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the condition related to treatment type (interstitial seed therapy)
  • Need for detailed documentation of treatment history and outcomes
  • Potential overlap with other causes of erectile dysfunction
  • Variability in patient responses to treatment and subsequent ED

Audit Risk Factors

  • Inadequate documentation linking ED to interstitial seed therapy
  • Failure to document prior erectile function status
  • Lack of follow-up notes regarding treatment effectiveness
  • Misclassification of ED as primary when it is secondary to treatment

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed treatment history, including type of therapy, dates, and patient responses.

Common Clinical Scenarios

Patients presenting with ED post-prostate cancer treatment, follow-up visits for sexual health.

Billing Considerations

Consideration of psychological factors and patient counseling on sexual health.

Oncology

Documentation Requirements

Comprehensive records of cancer treatment plans and side effects experienced by patients.

Common Clinical Scenarios

Patients undergoing treatment for prostate cancer and subsequent management of side effects.

Billing Considerations

Coordination with urology for managing sexual health post-treatment.

Coding Guidelines

Inclusion Criteria

Use N52.36 When
  • According to ICD
  • 10 guidelines, N52
  • 36 should be used when there is clear documentation linking erectile dysfunction to interstitial seed therapy
  • It is important to ensure that the patient's treatment history is well
  • documented and that other potential causes of ED are ruled out

Exclusion Criteria

Do NOT use N52.36 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54125CPT Code

Insertion of penile prosthesis

Clinical Scenario

Used for patients with severe ED unresponsive to other treatments.

Documentation Requirements

Document the patient's history of ED and previous treatments attempted.

Specialty Considerations

Urology specialists should ensure comprehensive evaluation before proceeding.

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 interstitial seed therapy, 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 conditions like erectile dysfunction following interstitial seed therapy, improving the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What documentation is needed to support the use of N52.36?

Documentation should include the patient's treatment history, the timeline of ED onset, and any previous treatments attempted for erectile dysfunction.