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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN53

N53

Non-billable

Other male sexual dysfunction

Chapter 14:Diseases of the genitourinary system

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 N53 is a used to indicate a diagnosis of other male sexual dysfunction.

Key Diagnostic Point:

The ICD-10 code N53 refers to 'Other male sexual dysfunction,' which encompasses a variety of conditions that affect male sexual health and function but do not fall under more specific categories. This may include issues such as sexual desire disorders, ejaculatory dysfunctions, and other sexual performance concerns that are not classified elsewhere. The clinical significance of this code lies in its ability to capture a range of dysfunctions that may impact a man's quality of life, relationships, and overall health. Proper coding is essential for appropriate treatment and management of these conditions, as well as for facilitating research and understanding of male sexual health issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

    Audit Risk Factors

      Specialty Focus

      Medical Specialties

      Urology

      Documentation Requirements

      Thorough patient history, physical examination findings, and specific details about sexual dysfunction symptoms.

      Common Clinical Scenarios

      Assessment of erectile dysfunction, premature ejaculation, and decreased libido.

      Billing Considerations

      Differentiating between primary and secondary sexual dysfunction is essential for accurate coding.

      Psychiatry

      Documentation Requirements

      Mental health evaluation, including psychological factors affecting sexual performance.

      Common Clinical Scenarios

      Management of sexual desire disorders linked to anxiety, depression, or relationship issues.

      Billing Considerations

      Documenting the psychological assessment is crucial for coding sexual dysfunction related to mental health.

      Endocrinology

      Documentation Requirements

      Assessment of hormonal levels, particularly testosterone, and related health issues.

      Common Clinical Scenarios

      Evaluation of sexual dysfunction due to hormonal imbalances or endocrine disorders.

      Billing Considerations

      Ensure to document any laboratory results that correlate with sexual dysfunction symptoms.

      Internal Medicine

      Documentation Requirements

      Comprehensive patient history and review of comorbid conditions that may influence sexual function.

      Common Clinical Scenarios

      Management of sexual dysfunction in patients with chronic diseases like diabetes or cardiovascular disorders.

      Billing Considerations

      Documenting comorbid conditions is important for understanding the full clinical picture.

      Related CPT Codes

      54000CPT Code

      Clinical Scenario

      Documentation Requirements

      Patient consent, details about the procedure, and response to previous treatments.

      99213CPT Code

      Clinical Scenario

      Documentation Requirements

      Patient history, review of systems, and assessment of treatment efficacy.

      54530CPT Code

      Clinical Scenario

      Documentation Requirements

      Pre-operative assessments, surgical notes, and post-operative follow-up.

      99406CPT Code

      Clinical Scenario

      Documentation Requirements

      Documented counseling sessions and patient progress.

      93000CPT Code

      Clinical Scenario

      Documentation Requirements

      ECG results and correlation with sexual health issues.

      ICD-10 Impact

      Diagnostic & Documentation Impact

      Enhanced Specificity

      ICD-10 Improvements

      The clinical and administrative impact of the N53 code category is significant, as it highlights the importance of addressing male sexual health issues in clinical practice. By accurately capturing these conditions, healthcare providers can improve quality measures related to sexual health and enhance population health outcomes. Additionally, as awareness of male sexual dysfunction grows, there is a trend towards integrating mental health support and counseling into treatment plans, further emphasizing the need for comprehensive care that addresses both physical and psychological aspects of male sexual health.

      ICD-9 vs ICD-10

      The clinical and administrative impact of the N53 code category is significant, as it highlights the importance of addressing male sexual health issues in clinical practice. By accurately capturing these conditions, healthcare providers can improve quality measures related to sexual health and enhance population health outcomes. Additionally, as awareness of male sexual dysfunction grows, there is a trend towards integrating mental health support and counseling into treatment plans, further emphasizing the need for comprehensive care that addresses both physical and psychological aspects of male sexual health.

      Reimbursement & Billing Impact

      reimbursement. Providers should document the specific nature of the male sexual dysfunction, including any relevant history and treatment plans. It is also important to be aware of payer-specific requirements, as some may require additional documentation or prior authorization for certain treatments related to male sexual dysfunction. Accurate coding is crucial to avoid claim denials and ensure that patients receive the necessary care without undue financial burden.

      Resources

      Clinical References

      • •
        American Urological Association Guidelines
      • •
        Mayo Clinic Patient Care
      • •
        National Institute of Diabetes and Digestive and Kidney Diseases
      • •
        American Psychological Association
      • •
        Endocrine Society Clinical Practice Guidelines

      Coding & Billing References

      • •
        American Urological Association Guidelines
      • •
        Mayo Clinic Patient Care
      • •
        National Institute of Diabetes and Digestive and Kidney Diseases
      • •
        American Psychological Association
      • •
        Endocrine Society Clinical Practice Guidelines

      Frequently Asked Questions

      What conditions are included in N53?

      N53 includes various male sexual dysfunctions such as sexual desire disorders, ejaculatory dysfunctions, and other unspecified sexual performance issues that do not fit into more specific categories.

      When should I use N53 codes?

      N53 codes should be used when a patient presents with male sexual dysfunction that does not fall under more specific categories, ensuring that the diagnosis is well-supported by clinical findings.

      What documentation is required for N53?

      Documentation should include a detailed clinical history, physical examination findings, and any relevant diagnostic tests that support the diagnosis of other male sexual dysfunction.