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ICD-10 Guide
ICD-10 CodesChapter 5: Mental, Behavioral and Neurodevelopmental disordersF52

F52

Billable

Sexual dysfunction not due to a substance or known physiological condition

Chapter 5:Mental, Behavioral and Neurodevelopmental disorders

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F52 is a billable code used to indicate a diagnosis of sexual dysfunction not due to a substance or known physiological condition.

Key Diagnostic Point:

F52 refers to sexual dysfunction that is not attributable to substance use or identifiable physiological conditions. This category encompasses a range of sexual dysfunctions, including but not limited to erectile dysfunction, female sexual arousal disorder, and orgasmic disorders. The etiology of these dysfunctions is often multifactorial, involving psychological, emotional, and relational components. Factors such as anxiety, depression, stress, and interpersonal issues can significantly impact sexual function. It is crucial for healthcare providers to conduct thorough assessments to differentiate between sexual dysfunctions that arise from psychological factors versus those that are physiological in nature. Treatment may involve psychotherapy, counseling, or pharmacological interventions, depending on the underlying causes. Accurate coding requires careful documentation of the patient's history, presenting symptoms, and any relevant psychosocial factors that may contribute to the dysfunction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between psychological and physiological causes
  • Need for comprehensive patient history and assessment
  • Variability in symptoms and patient experiences
  • Potential overlap with other mental health diagnoses

Audit Risk Factors

  • Inadequate documentation of psychological assessments
  • Failure to specify the type of sexual dysfunction
  • Misclassification of sexual dysfunction as physiological
  • Lack of evidence for non-substance-related causes

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed mental health evaluations, including history of sexual function and psychosocial factors.

Common Clinical Scenarios

Patients presenting with anxiety or depression affecting sexual performance.

Billing Considerations

Consideration of comorbid mental health conditions and their impact on sexual health.

Urology

Documentation Requirements

Physical examinations, lab results, and assessments of erectile function.

Common Clinical Scenarios

Men experiencing erectile dysfunction without identifiable physiological causes.

Billing Considerations

Differentiating between psychological and organic causes of erectile dysfunction.

Coding Guidelines

Inclusion Criteria

Use F52 When
  • According to ICD
  • 10 guidelines, F52 should be used when sexual dysfunction is not due to a substance or known physiological condition
  • Documentation must clearly indicate the absence of these factors
  • Clinicians should provide a comprehensive assessment that includes psychological evaluations

Exclusion Criteria

Do NOT use F52 When
No specific exclusions found.

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes

Clinical Scenario

Used for therapy sessions addressing sexual dysfunction.

Documentation Requirements

Document the focus on sexual dysfunction and any therapeutic interventions.

Specialty Considerations

Psychiatrists should ensure comprehensive mental health evaluations are included.

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, enabling better tracking of these conditions and their treatment outcomes. F52 provides a clear distinction from physiological causes, which aids in appropriate treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, enabling better tracking of these conditions and their treatment outcomes. F52 provides a clear distinction from physiological causes, which aids in appropriate treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, enabling better tracking of these conditions and their treatment outcomes. F52 provides a clear distinction from physiological causes, which aids in appropriate treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of sexual dysfunction coded under F52?

Common causes include psychological factors such as anxiety, depression, relationship issues, and stress, which can all contribute to sexual dysfunction without any identifiable physiological conditions.