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v1.0.0
ICD-10 Guide
ICD-10 CodesN53.9

N53.9

Billable

Unspecified male sexual dysfunction

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

Code Description

ICD-10 N53.9 is a billable code used to indicate a diagnosis of unspecified male sexual dysfunction.

Key Diagnostic Point:

Unspecified male sexual dysfunction encompasses a range of sexual health issues affecting men, characterized by difficulties in sexual performance, desire, or satisfaction. This condition may manifest as erectile dysfunction, ejaculatory disorders, or other sexual health concerns that do not fit neatly into specific diagnostic categories. Erectile dysfunction, the inability to achieve or maintain an erection sufficient for satisfactory sexual performance, can stem from various causes, including psychological factors, hormonal imbalances, or vascular issues. Ejaculatory disorders, such as premature ejaculation or delayed ejaculation, can also contribute to sexual dysfunction and may be influenced by both physical and psychological factors. The term 'unspecified' indicates that the clinician has not determined a specific diagnosis despite the presence of sexual dysfunction symptoms. Accurate diagnosis and treatment are crucial, as these conditions can significantly impact a man's quality of life, relationships, and mental health. Treatment options may include lifestyle changes, psychotherapy, pharmacotherapy, or medical interventions, depending on the underlying causes and the severity of the dysfunction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (psychological, physiological, hormonal)
  • Overlap with other sexual dysfunction codes
  • Need for comprehensive patient history and assessment
  • Potential for misdiagnosis or vague symptoms

Audit Risk Factors

  • Inadequate documentation of symptoms and history
  • Failure to specify the type of dysfunction when possible
  • Use of unspecified codes without supporting clinical evidence
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of erectile dysfunction, treatment of ejaculatory disorders, and management of male infertility.

Billing Considerations

Urologists should document the specific nature of dysfunction and any relevant comorbidities.

Psychiatry

Documentation Requirements

Psychological assessments, treatment plans, and progress notes regarding sexual health.

Common Clinical Scenarios

Addressing psychological factors contributing to sexual dysfunction, such as anxiety or depression.

Billing Considerations

Psychiatrists should document the interplay between mental health and sexual function.

Coding Guidelines

Inclusion Criteria

Use N53.9 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the unspecified nature of the dysfunction is justified by clinical documentation
  • Include any relevant patient history and symptomatology to support the use of N53

Exclusion Criteria

Do NOT use N53.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits regarding sexual dysfunction management.

Documentation Requirements

Document the patient's history, current symptoms, and treatment plan.

Specialty Considerations

Urologists may use this code frequently for ongoing management of sexual dysfunction.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of sexual dysfunction, enabling better tracking of conditions and treatment outcomes. N53.9 serves as a catch-all for unspecified cases, emphasizing the need for thorough documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of sexual dysfunction, enabling better tracking of conditions and treatment outcomes. N53.9 serves as a catch-all for unspecified cases, emphasizing the need for thorough documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of sexual dysfunction, enabling better tracking of conditions and treatment outcomes. N53.9 serves as a catch-all for unspecified cases, emphasizing the need for thorough documentation.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

When should I use N53.9 instead of a more specific code?

Use N53.9 when the specific type of male sexual dysfunction has not been determined or documented, and ensure that the clinical rationale for using an unspecified code is clearly noted in the patient's records.