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v1.0.0
ICD-10 Guide
ICD-10 CodesN52.0

N52.0

Billable

Vasculogenic erectile dysfunction

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N52.0 is a billable code used to indicate a diagnosis of vasculogenic erectile dysfunction.

Key Diagnostic Point:

Vasculogenic erectile dysfunction (ED) is a condition characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual performance due to vascular issues. This form of ED is often associated with impaired blood flow to the penis, which can result from various underlying conditions such as atherosclerosis, hypertension, diabetes mellitus, and other cardiovascular diseases. The pathophysiology involves the disruption of normal vascular function, leading to inadequate engorgement of the penile tissues during sexual arousal. Diagnosis typically requires a thorough medical history, physical examination, and may include laboratory tests to assess hormone levels and vascular health. Treatment options may include lifestyle modifications, pharmacotherapy (such as phosphodiesterase type 5 inhibitors), and in some cases, surgical interventions. Understanding the vascular components of erectile function is crucial for effective management and treatment of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between vasculogenic and other types of erectile dysfunction.
  • Need for comprehensive patient history to identify underlying vascular conditions.
  • Potential overlap with other codes related to erectile dysfunction.
  • Documentation of comorbidities that may contribute to the condition.

Audit Risk Factors

  • Inadequate documentation of the underlying vascular condition.
  • Failure to document the patient's history of cardiovascular disease.
  • Lack of evidence for the medical necessity of prescribed treatments.
  • Misclassification of the type of erectile dysfunction.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with ED symptoms, particularly those with known vascular risk factors.

Billing Considerations

Urologists must ensure that all relevant vascular assessments are documented to support the diagnosis.

Cardiology

Documentation Requirements

Comprehensive cardiovascular assessment and management plans.

Common Clinical Scenarios

Patients with a history of cardiovascular disease presenting with ED.

Billing Considerations

Cardiologists should document the relationship between cardiovascular health and erectile function.

Coding Guidelines

Inclusion Criteria

Use N52.0 When
  • According to ICD
  • 10 guidelines, N52
  • 0 should be used when the erectile dysfunction is specifically due to vascular causes
  • Coders must ensure that the diagnosis is supported by clinical documentation that outlines the vascular issues contributing to the condition

Exclusion Criteria

Do NOT use N52.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT 54160CPT Code

Penile prosthesis implantation

Clinical Scenario

Used in cases of severe vasculogenic ED where other treatments have failed.

Documentation Requirements

Detailed documentation of prior treatments and their outcomes.

Specialty Considerations

Urologists must document the medical necessity for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of erectile dysfunction, enabling better tracking of vasculogenic causes and improving the accuracy of treatment data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of erectile dysfunction, enabling better tracking of vasculogenic causes and improving the accuracy of treatment data.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of erectile dysfunction, enabling better tracking of vasculogenic causes and improving the accuracy of treatment data.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the primary cause of vasculogenic erectile dysfunction?

The primary cause is impaired blood flow to the penis due to vascular issues such as atherosclerosis, hypertension, or diabetes.