Other and unspecified postprocedural erectile dysfunction
ICD-10 N52.39 is a billable code used to indicate a diagnosis of other and unspecified postprocedural erectile dysfunction.
Postprocedural erectile dysfunction (ED) refers to the inability to achieve or maintain an erection sufficient for satisfactory sexual performance following a surgical procedure. This condition can arise from various surgical interventions, particularly those involving the pelvic region, such as prostatectomy, penile surgery, or vascular surgeries. The pathophysiology often involves 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 intimate relationships. The diagnosis of postprocedural ED requires a thorough assessment, including a detailed medical history, physical examination, and possibly additional diagnostic tests to rule out other causes of erectile dysfunction. Treatment options may include pharmacotherapy, vacuum erection devices, penile injections, or surgical interventions such as penile implants. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking outcomes in clinical practice.
Detailed operative reports, patient history of erectile function, and follow-up assessments.
Post-prostatectomy patients experiencing ED, patients with penile surgery complications.
Urologists should document the type of surgery performed and any nerve-sparing techniques used.
Assessment of psychological factors contributing to ED, including anxiety or depression related to surgical outcomes.
Patients with psychological distress following surgery impacting sexual function.
Psychiatrists should document the interplay between psychological factors and physical health.
Used for patients with severe ED unresponsive to other treatments.
Operative report detailing the procedure and indication.
Urologists should document the patient's history of ED and previous treatments.
Surgeries such as prostatectomy, penile surgery, and vascular surgeries can lead to postprocedural erectile dysfunction due to potential nerve or vascular damage.
A thorough patient history is essential. Document the timeline of ED onset in relation to the surgical procedure and assess for other potential causes.
