Premature ejaculation
ICD-10 F52.4 is a billable code used to indicate a diagnosis of premature ejaculation.
Premature ejaculation (PE) is a common male sexual dysfunction characterized by ejaculation that occurs with minimal sexual stimulation, often before or shortly after penetration, leading to distress or interpersonal difficulty. It is classified as a lifelong or acquired condition, with the former being present since the onset of sexual activity and the latter developing after a period of normal sexual function. The etiology of PE can be multifactorial, involving psychological factors such as anxiety, depression, or relationship issues, as well as physiological factors like hormonal imbalances or neurological conditions. Diagnosis is primarily clinical, based on patient history and self-reported experiences, and may involve ruling out other sexual dysfunctions. Treatment options include behavioral techniques, pharmacotherapy, and counseling, aimed at improving sexual satisfaction and reducing anxiety associated with sexual performance. Understanding the nuances of PE is essential for effective management and coding, as it can significantly impact a patient's quality of life and relationships.
Detailed sexual history, including onset and duration of symptoms, previous treatments, and psychological evaluations.
Evaluation of male patients presenting with complaints of premature ejaculation, often in conjunction with erectile dysfunction.
Consideration of hormonal evaluations and potential referrals to mental health professionals for comprehensive care.
Assessment of psychological factors contributing to PE, including anxiety and relationship issues.
Patients with anxiety disorders presenting with sexual dysfunction, requiring a multidisciplinary approach.
Documentation of therapeutic interventions and their impact on sexual function is crucial.
Used when addressing psychological factors contributing to PE.
Document the focus of therapy and progress made.
Psychiatrists should note the interplay between mental health and sexual function.
Lifelong PE is present from the first sexual experience, while acquired PE develops after a period of normal sexual function, often due to psychological or medical factors.
