Erectile dysfunction due to arterial insufficiency
ICD-10 N52.01 is a billable code used to indicate a diagnosis of erectile dysfunction due to arterial insufficiency.
Erectile dysfunction (ED) due to arterial insufficiency is a condition characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual performance, specifically resulting from inadequate blood flow to the penis. This insufficiency is often caused by atherosclerosis, where plaque builds up in the arteries, leading to reduced blood supply. Risk factors include age, diabetes, hypertension, smoking, and hyperlipidemia. Clinically, patients may present with a gradual onset of erectile difficulties, often accompanied by other signs of vascular disease. Diagnosis typically involves a thorough medical history, physical examination, and may include vascular studies to assess blood flow. Treatment options may include lifestyle modifications, pharmacotherapy (such as phosphodiesterase type 5 inhibitors), and in some cases, surgical interventions to improve arterial blood flow. Understanding the underlying vascular causes is crucial for effective management and improving sexual health outcomes.
Detailed patient history, physical examination findings, and any diagnostic tests performed.
Patients presenting with erectile dysfunction, especially those with known vascular risk factors.
Urologists should ensure that all relevant vascular assessments are documented to support the diagnosis.
Assessment of hormonal levels, particularly testosterone, and documentation of any metabolic syndrome components.
Patients with diabetes or metabolic syndrome presenting with erectile dysfunction.
Endocrinologists should document the relationship between hormonal imbalances and erectile dysfunction.
Used in cases where conservative treatments fail due to arterial insufficiency.
Detailed documentation of previous treatments and their outcomes.
Urologists should document the rationale for surgical intervention.
The primary cause is reduced blood flow to the penis due to narrowed or blocked arteries, often resulting from atherosclerosis or other vascular diseases.