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ICD-10 Guide
ICD-10 CodesN52.33

N52.33

Billable

Erectile dysfunction following urethral surgery

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

Code Description

ICD-10 N52.33 is a billable code used to indicate a diagnosis of erectile dysfunction following urethral surgery.

Key Diagnostic Point:

Erectile dysfunction (ED) following urethral surgery is a condition characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual performance, which occurs as a complication after surgical procedures involving the urethra. Such surgeries may include urethral stricture repair, urethrectomy, or procedures for urethral diverticula. The pathophysiology of ED in this context may involve nerve damage, vascular compromise, or psychological factors stemming from the surgical experience. Patients may experience varying degrees of ED, which can significantly impact their quality of life and sexual health. It is essential for healthcare providers to assess the patient's history, including the type of urethral surgery performed, the timeline of ED onset, and any other contributing factors such as comorbidities or medications. Treatment options may include pharmacotherapy, vacuum erection devices, or referral for psychological counseling, depending on the severity and underlying causes of the dysfunction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of surgical history and its impact on erectile function.
  • Differentiation from other causes of erectile dysfunction.
  • Need for comprehensive documentation to support the diagnosis.
  • Potential overlap with other codes related to erectile dysfunction.

Audit Risk Factors

  • Inadequate documentation linking surgery to ED.
  • Failure to note the timeline of ED onset post-surgery.
  • Misclassification of ED severity.
  • Lack of patient consent or treatment plan documentation.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed surgical history, patient complaints, and treatment plans must be documented.

Common Clinical Scenarios

Post-operative follow-up visits for patients who have undergone urethral surgery.

Billing Considerations

Urologists should ensure that all relevant surgical details are included to support the diagnosis of ED.

Psychiatry

Documentation Requirements

Psychological evaluations and treatment plans for patients experiencing ED post-surgery.

Common Clinical Scenarios

Patients presenting with anxiety or depression related to sexual dysfunction.

Billing Considerations

Mental health professionals should document the psychological impact of ED on the patient's quality of life.

Coding Guidelines

Inclusion Criteria

Use N52.33 When
  • According to ICD
  • 10 guidelines, N52
  • 33 should be used when erectile dysfunction is directly linked to a prior urethral surgery
  • Coders must ensure that the surgical history is well
  • documented and that the timing of ED onset is clear

Exclusion Criteria

Do NOT use N52.33 When
  • Exclusion criteria include ED not related to surgical history

Related ICD-10 Codes

Related CPT Codes

54125CPT Code

Urethral dilation

Clinical Scenario

Used in conjunction with N52.33 when documenting the procedure leading to ED.

Documentation Requirements

Document the indication for dilation and any post-operative complications.

Specialty Considerations

Urologists should ensure that the procedure details are clearly linked to the diagnosis.

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, including post-surgical cases, which aids in better tracking of outcomes and complications related to surgical interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of erectile dysfunction, including post-surgical cases, which aids in better tracking of outcomes and complications related to surgical interventions.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What documentation is needed to support the use of N52.33?

Documentation should include the type of urethral surgery performed, the timeline of ED onset, and any treatments attempted. Patient history and surgical notes are essential.