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v1.0.0
ICD-10 Guide
ICD-10 CodesN53.11

N53.11

Billable

Retarded ejaculation

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

Code Description

ICD-10 N53.11 is a billable code used to indicate a diagnosis of retarded ejaculation.

Key Diagnostic Point:

Retarded ejaculation, also known as delayed ejaculation, is a male sexual dysfunction characterized by a prolonged time to achieve ejaculation during sexual activity, or the inability to ejaculate at all despite adequate sexual stimulation. This condition can lead to significant distress for both the affected individual and their partner, impacting overall sexual satisfaction and intimacy. The etiology of retarded ejaculation can be multifactorial, including psychological factors such as anxiety, depression, or relationship issues, as well as physiological factors like hormonal imbalances, neurological disorders, or the side effects of certain medications. Diagnosis typically involves a thorough medical history, physical examination, and possibly psychological evaluation to rule out underlying conditions. Treatment options may include psychotherapy, medication adjustments, or sexual therapy, depending on the underlying cause. Understanding the complexities of this condition is crucial for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (psychological, physiological)
  • Potential overlap with other sexual dysfunction codes
  • Need for comprehensive patient history and documentation
  • Variability in patient presentation and response to treatment

Audit Risk Factors

  • Inadequate documentation of patient history
  • Failure to specify the duration and severity of symptoms
  • Misclassification with other ejaculatory disorders
  • Lack of evidence for treatment rationale

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed sexual history, physical examination findings, and any relevant laboratory results.

Common Clinical Scenarios

Patients presenting with complaints of delayed ejaculation, often after starting new medications or experiencing relationship issues.

Billing Considerations

Urologists should ensure to document any psychological evaluations or referrals to mental health professionals.

Psychiatry

Documentation Requirements

Comprehensive mental health assessment, including any psychological stressors or underlying mental health conditions.

Common Clinical Scenarios

Patients with anxiety or depression presenting with sexual dysfunction.

Billing Considerations

Psychiatrists should document the impact of mental health on sexual function and any therapeutic interventions.

Coding Guidelines

Inclusion Criteria

Use N53.11 When
  • According to ICD
  • 10 guidelines, N53
  • 11 should be used when the primary issue is retarded ejaculation without any other specified ejaculatory disorder
  • It is important to document the duration and severity of symptoms to support the diagnosis

Exclusion Criteria

Do NOT use N53.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes

Clinical Scenario

Used when treating psychological factors contributing to retarded ejaculation.

Documentation Requirements

Document the nature of the therapy and its relation to sexual dysfunction.

Specialty Considerations

Psychiatrists should note the impact of mental health on sexual function.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including retarded ejaculation, which helps in better tracking and management of these conditions in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including retarded ejaculation, which helps in better tracking and management of these conditions in clinical practice.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including retarded ejaculation, which helps in better tracking and management of these conditions in clinical practice.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the difference between retarded ejaculation and premature ejaculation?

Retarded ejaculation refers to a prolonged time to ejaculate or inability to ejaculate, while premature ejaculation is characterized by ejaculation that occurs with minimal sexual stimulation and before the individual wishes.