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ICD-10 Guide
ICD-10 CodesF52.21

F52.21

Billable

Male erectile disorder

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

Code Description

ICD-10 F52.21 is a billable code used to indicate a diagnosis of male erectile disorder.

Key Diagnostic Point:

Male erectile disorder, classified under ICD-10 code F52.21, refers to the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. This condition can significantly impact a man's quality of life, leading to emotional distress, relationship issues, and decreased self-esteem. The disorder can arise from a variety of factors, including psychological issues such as anxiety, depression, and stress, as well as physical conditions like diabetes, hypertension, and hormonal imbalances. It is essential to differentiate between transient erectile dysfunction, which may occur due to situational factors, and chronic erectile disorder, which requires medical evaluation and intervention. Diagnosis typically involves a thorough medical history, physical examination, and possibly laboratory tests to identify underlying causes. Treatment options may include lifestyle modifications, psychotherapy, pharmacotherapy, or mechanical devices. Understanding the multifactorial nature of this disorder is crucial for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between psychological and physiological causes
  • Need for comprehensive patient history and documentation
  • Potential overlap with other sexual dysfunction codes
  • Variability in treatment approaches and patient responses

Audit Risk Factors

  • Inadequate documentation of the duration and severity of symptoms
  • Failure to document underlying medical conditions
  • Lack of evidence for treatment attempts or referrals
  • Misclassification of transient erectile dysfunction as chronic

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of patients presenting with erectile dysfunction, including those with comorbid conditions like diabetes or cardiovascular disease.

Billing Considerations

Urologists should ensure that all relevant medical and psychological factors are documented to support the diagnosis.

Psychiatry

Documentation Requirements

Comprehensive mental health assessment, including psychological evaluations and treatment history.

Common Clinical Scenarios

Management of erectile dysfunction related to anxiety, depression, or other mental health disorders.

Billing Considerations

Psychiatrists must document the interplay between mental health and sexual function to justify the diagnosis.

Coding Guidelines

Inclusion Criteria

Use F52.21 When
  • According to ICD
  • 10 coding guidelines, F52
  • 21 should be used when erectile dysfunction is persistent and not attributable to a temporary condition
  • It is important to document the duration and severity of symptoms and any relevant comorbidities

Exclusion Criteria

Do NOT use F52.21 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Insertion of penile prosthesis

Clinical Scenario

Used for patients with severe erectile dysfunction unresponsive to other treatments.

Documentation Requirements

Document the patient's history of erectile dysfunction and previous treatment attempts.

Specialty Considerations

Urologists should ensure that all relevant medical and psychological factors are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of male erectile disorder, facilitating better tracking of prevalence and treatment outcomes. It has also improved the ability to capture the multifactorial nature of the disorder.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of male erectile disorder, facilitating better tracking of prevalence and treatment outcomes. It has also improved the ability to capture the multifactorial nature of the disorder.

Reimbursement & Billing Impact

impact of the disorder on quality of life, and any treatment attempts. Clear linkage between diagnosis and treatment is essential for reimbursement.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the difference between transient and chronic erectile dysfunction?

Transient erectile dysfunction is often situational and may resolve without treatment, while chronic erectile dysfunction persists over time and typically requires medical evaluation and intervention.