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v1.0.0
ICD-10 Guide
ICD-10 CodesN52.9

N52.9

Billable

Male erectile dysfunction, unspecified

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

Code Description

ICD-10 N52.9 is a billable code used to indicate a diagnosis of male erectile dysfunction, unspecified.

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 condition can arise from a variety of physical and psychological factors, including hormonal imbalances, vascular diseases, neurological disorders, and psychological issues such as anxiety or depression. The unspecified designation indicates that the specific cause of the erectile dysfunction has not been determined or documented. ED can significantly impact a man's quality of life, affecting self-esteem, relationships, and overall sexual health. It is essential for healthcare providers to conduct a thorough assessment to identify potential underlying causes, which may include diabetes, hypertension, or lifestyle factors such as smoking and obesity. Treatment options vary and may include lifestyle modifications, pharmacotherapy, vacuum erection devices, or surgical interventions. Accurate coding is crucial for appropriate treatment and reimbursement, as well as for tracking the prevalence and management of this common condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes requiring thorough documentation.
  • Need for differentiation from other sexual dysfunction codes.
  • Potential overlap with psychological disorders affecting sexual health.
  • Variability in treatment options and their documentation.

Audit Risk Factors

  • Inadequate documentation of the patient's history and physical examination.
  • Failure to specify underlying causes when known.
  • Misuse of unspecified codes leading to potential denials.
  • Inconsistent documentation across multiple visits.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of a patient presenting with ED, including assessment of comorbid conditions.

Billing Considerations

Consideration of both organic and psychological factors in treatment planning.

Psychiatry

Documentation Requirements

Psychological evaluation and treatment history related to sexual dysfunction.

Common Clinical Scenarios

Management of ED in patients with anxiety or depression.

Billing Considerations

Need for collaboration with urology for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use N52.9 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used when the specific cause of erectile dysfunction is not documented
  • Ensure that documentation supports the diagnosis and any related conditions

Exclusion Criteria

Do NOT use N52.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Penile prosthesis implantation

Clinical Scenario

Used in cases of severe ED unresponsive to other treatments.

Documentation Requirements

Detailed documentation of prior treatments and their outcomes.

Specialty Considerations

Urology specialists must provide comprehensive evaluations before surgery.

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 management. N52.9 serves as a catch-all for unspecified cases, but it is crucial to strive for more specific codes when possible to enhance clinical understanding and treatment outcomes.

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 management. N52.9 serves as a catch-all for unspecified cases, but it is crucial to strive for more specific codes when possible to enhance clinical understanding and treatment outcomes.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Urological Association Guidelines on Erectile Dysfunction

Coding & Billing References

  • •
    American Urological Association Guidelines on Erectile Dysfunction

Frequently Asked Questions

When should I use N52.9 instead of a more specific code?

Use N52.9 when the specific cause of erectile dysfunction is not documented or when the provider has not specified the underlying condition.