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v1.0.0
ICD-10 Guide
ICD-10 CodesF52.0

F52.0

Billable

Hypoactive sexual desire disorder

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

Code Description

ICD-10 F52.0 is a billable code used to indicate a diagnosis of hypoactive sexual desire disorder.

Key Diagnostic Point:

Hypoactive sexual desire disorder (HSDD) is characterized by a persistent or recurrent lack of sexual desire or interest in sexual activity, which causes marked distress or interpersonal difficulty. This condition can manifest in various ways, including a diminished interest in sexual activity, a lack of sexual fantasies, and a reduced desire for sexual activity. HSDD can be influenced by a multitude of factors, including psychological issues such as anxiety, depression, and stress, as well as physiological factors like hormonal imbalances, chronic illnesses, and certain medications. It is important to differentiate HSDD from other sexual dysfunctions, as it specifically pertains to desire rather than arousal or orgasm. Diagnosis typically involves a thorough assessment of the patient's sexual history, psychological state, and any potential medical conditions that may contribute to the disorder. Treatment options may include psychotherapy, hormonal therapy, or medications aimed at enhancing sexual desire. Understanding the multifaceted nature of HSDD is crucial for effective management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary HSDD
  • Assessing the impact of comorbid psychological conditions
  • Understanding the influence of medications on sexual desire
  • Navigating patient confidentiality and sensitivity in documentation

Audit Risk Factors

  • Inadequate documentation of patient history and symptoms
  • Failure to note comorbid conditions that may affect sexual desire
  • Lack of clear treatment plans or follow-up documentation
  • Misclassification of HSDD with other sexual dysfunctions

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including psychological assessments and treatment plans.

Common Clinical Scenarios

Patients presenting with anxiety or depression that impacts sexual desire.

Billing Considerations

Consideration of the patient's mental health history and any medications that may affect libido.

Endocrinology

Documentation Requirements

Hormonal assessments and evaluations of underlying endocrine disorders.

Common Clinical Scenarios

Patients with hormonal imbalances affecting sexual desire, such as low testosterone or thyroid dysfunction.

Billing Considerations

Documentation of lab results and correlation with sexual desire symptoms.

Coding Guidelines

Inclusion Criteria

Use F52.0 When
  • According to ICD
  • 10 guidelines, HSDD is classified under sexual dysfunctions not due to a general medical condition
  • It is essential to document the duration and severity of symptoms, as well as any psychological or physiological factors contributing to the disorder

Exclusion Criteria

Do NOT use F52.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for patients undergoing therapy for HSDD.

Documentation Requirements

Document the focus of therapy and any progress made.

Specialty Considerations

Psychiatrists should ensure that therapy goals are clearly outlined.

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, improving the ability to capture the nuances of conditions like HSDD. This specificity aids in better treatment planning and outcomes tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, improving the ability to capture the nuances of conditions like HSDD. This specificity aids in better treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Psychiatric Association - DSM-5

Coding & Billing References

  • •
    American Psychiatric Association - DSM-5

Frequently Asked Questions

What is the difference between HSDD and other sexual dysfunctions?

HSDD specifically refers to a lack of sexual desire, while other sexual dysfunctions may involve issues with arousal or orgasm. It is important to assess the patient's symptoms comprehensively to determine the correct diagnosis.