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v1.0.0
ICD-10 Guide
ICD-10 CodesF52.1

F52.1

Billable

Sexual aversion disorder

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

Code Description

ICD-10 F52.1 is a billable code used to indicate a diagnosis of sexual aversion disorder.

Key Diagnostic Point:

Sexual aversion disorder is characterized by a persistent or recurrent aversion to sexual activity, leading to significant distress or interpersonal difficulties. Individuals with this disorder may experience extreme anxiety or disgust at the thought of engaging in sexual intercourse or other sexual activities. This condition can stem from various factors, including past trauma, negative sexual experiences, or cultural and religious beliefs that stigmatize sexual expression. The disorder is distinct from other sexual dysfunctions, as it primarily involves an emotional and psychological aversion rather than physiological issues. Diagnosis typically requires a thorough clinical evaluation, including a detailed sexual history and assessment of any underlying psychological conditions. Treatment may involve psychotherapy, cognitive-behavioral therapy, or couples counseling, focusing on addressing the underlying causes of the aversion and improving sexual intimacy. It is essential for healthcare providers to approach this condition with sensitivity and understanding, as it can significantly impact an individual's quality of life and relationships.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires comprehensive patient history and psychological evaluation.
  • Differentiation from other sexual dysfunctions can be challenging.
  • Potential overlap with other mental health disorders.
  • Documentation must clearly indicate the aversion is persistent and causes distress.

Audit Risk Factors

  • Inadequate documentation of the patient's sexual history.
  • Failure to note the impact of the disorder on daily functioning.
  • Lack of evidence for persistent symptoms.
  • Misclassification with other sexual dysfunction codes.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Thorough psychological evaluation and history of sexual functioning.

Common Clinical Scenarios

Patients presenting with anxiety or trauma-related sexual aversion.

Billing Considerations

Consideration of comorbid mental health disorders and their impact on sexual functioning.

Sexual Medicine

Documentation Requirements

Detailed assessment of sexual health and history, including any physical examinations.

Common Clinical Scenarios

Patients seeking help for sexual dysfunction with a psychological component.

Billing Considerations

Integration of both psychological and physiological assessments for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use F52.1 When
  • Follow the ICD
  • CM coding guidelines for mental disorders, ensuring that the diagnosis is well
  • documented and supported by clinical findings
  • The condition must be persistent and cause significant distress or impairment in social, occupational, or other important areas of functioning

Exclusion Criteria

Do NOT use F52.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for therapy sessions addressing sexual aversion disorder.

Documentation Requirements

Document the focus of therapy on sexual aversion and its impact.

Specialty Considerations

Psychiatrists and psychologists should ensure that the treatment plan aligns with the diagnosis.

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 sexual aversion disorder, which helps in better understanding and treatment of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including sexual aversion disorder, which helps in better understanding and treatment of the condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including sexual aversion disorder, which helps in better understanding and treatment of the condition.

Resources

Clinical References

  • •
    American Psychiatric Association - Sexual Aversion Disorder

Coding & Billing References

  • •
    American Psychiatric Association - Sexual Aversion Disorder

Frequently Asked Questions

What is the primary treatment for sexual aversion disorder?

The primary treatment often involves psychotherapy, focusing on addressing the underlying psychological issues and improving sexual intimacy.