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ICD-10 Guide
ICD-10 CodesF52.22

F52.22

Billable

Female sexual arousal disorder

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

Code Description

ICD-10 F52.22 is a billable code used to indicate a diagnosis of female sexual arousal disorder.

Key Diagnostic Point:

Female sexual arousal disorder (FSAD) is characterized by a persistent or recurrent inability to attain or maintain adequate lubrication or swelling of the sexual organs during sexual activity, which causes marked distress or interpersonal difficulties. This condition can manifest in various ways, including a lack of sexual excitement, diminished sexual pleasure, or an inability to achieve orgasm. FSAD can be influenced by a multitude of factors, including psychological issues such as anxiety, depression, or past trauma, as well as physiological factors like hormonal imbalances, chronic illnesses, or side effects from medications. The disorder is often associated with other sexual dysfunctions, such as female orgasmic disorder or sexual pain disorders. Diagnosis typically involves a thorough medical history, physical examination, and possibly psychological evaluation to rule out other underlying conditions. Treatment options may include psychotherapy, hormonal therapy, or lifestyle changes aimed at improving sexual health and overall well-being.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes (psychological, physiological)
  • Need for comprehensive patient history and evaluation
  • Overlap with other sexual dysfunction codes
  • Variability in patient presentation and symptoms

Audit Risk Factors

  • Inadequate documentation of patient history
  • Failure to document co-morbid conditions
  • Misclassification of sexual dysfunction types
  • Lack of evidence for treatment plans

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychological assessment and treatment history.

Common Clinical Scenarios

Patients presenting with anxiety or depression affecting sexual function.

Billing Considerations

Consideration of psychological therapies and their documentation.

Gynecology

Documentation Requirements

Comprehensive gynecological history and physical examination findings.

Common Clinical Scenarios

Patients with hormonal imbalances or chronic pelvic pain.

Billing Considerations

Documentation of any hormonal treatments or interventions.

Coding Guidelines

Inclusion Criteria

Use F52.22 When
  • According to ICD
  • 10 guidelines, FSAD is classified under sexual dysfunctions not due to a medical condition
  • It is essential to document the duration and severity of symptoms, as well as any psychological or physical factors contributing to the disorder

Exclusion Criteria

Do NOT use F52.22 When
  • Exclusion criteria include sexual dysfunctions due to substance use or other medical conditions

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes

Clinical Scenario

Used for patients undergoing therapy for sexual dysfunction.

Documentation Requirements

Document the nature of the therapy and its relation to sexual dysfunction.

Specialty Considerations

Psychiatrists should ensure that therapy goals are clearly defined.

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 FSAD, which helps in better understanding and treatment of the condition. It has also improved the granularity of data for research and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including FSAD, which helps in better understanding and treatment of the condition. It has also improved the granularity of data for research and epidemiological studies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sexual dysfunctions, including FSAD, which helps in better understanding and treatment of the condition. It has also improved the granularity of data for research and epidemiological studies.

Resources

Clinical References

  • •
    American Psychiatric Association - Sexual Dysfunction

Coding & Billing References

  • •
    American Psychiatric Association - Sexual Dysfunction

Frequently Asked Questions

What are the common causes of female sexual arousal disorder?

Common causes include psychological factors such as anxiety and depression, hormonal changes, chronic illnesses, and certain medications. A thorough evaluation is necessary to identify the underlying causes.