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ICD-10 Guide
ICD-10 CodesN52.8

N52.8

Billable

Other male erectile dysfunction

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

Code Description

ICD-10 N52.8 is a billable code used to indicate a diagnosis of other male erectile dysfunction.

Key Diagnostic Point:

N52.8 refers to erectile dysfunction in males that does not fall under the more commonly classified categories such as organic or psychogenic erectile dysfunction. This code encompasses a variety of conditions that may lead to difficulties in achieving or maintaining an erection sufficient for satisfactory sexual performance. The underlying causes can be multifactorial, including hormonal imbalances, neurological disorders, vascular issues, or side effects from medications. It is essential for healthcare providers to conduct a thorough assessment to identify the specific etiology of the erectile dysfunction, as this will guide appropriate treatment options. Patients may present with varying degrees of dysfunction, from occasional difficulties to complete inability to achieve an erection. The condition can significantly impact a man's quality of life, leading to psychological distress, relationship issues, and decreased self-esteem. Accurate coding is crucial for effective treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes that may not be immediately apparent
  • Need for comprehensive patient history and assessment
  • Potential overlap with other sexual dysfunction codes
  • Documentation of specific symptoms and duration required

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Failure to specify the duration of symptoms
  • Misclassification of erectile dysfunction type
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, and any relevant laboratory results.

Common Clinical Scenarios

Patients presenting with erectile dysfunction complaints, post-surgical complications, or side effects from medications.

Billing Considerations

Consideration of psychological factors and referral to mental health professionals if indicated.

Endocrinology

Documentation Requirements

Hormonal assessments, including testosterone levels, and documentation of any endocrine disorders.

Common Clinical Scenarios

Patients with diabetes or thyroid disorders presenting with erectile dysfunction.

Billing Considerations

Assessment of metabolic syndrome and its impact on erectile function.

Coding Guidelines

Inclusion Criteria

Use N52.8 When
  • According to ICD
  • 10 guidelines, N52
  • 8 should be used when the erectile dysfunction does not fit into the defined categories of organic or psychogenic
  • Documentation must support the diagnosis and include details about the patient's history and any treatments attempted

Exclusion Criteria

Do NOT use N52.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Insertion of penile prosthesis

Clinical Scenario

Used in cases where conservative treatments for erectile dysfunction have failed.

Documentation Requirements

Detailed history of erectile dysfunction, previous treatments attempted, and rationale for surgery.

Specialty Considerations

Urology specialists should ensure all conservative measures have been documented.

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 treatment outcomes and epidemiological data. N52.8 provides a necessary option for cases that do not fit neatly into other categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of erectile dysfunction, enabling better tracking of treatment outcomes and epidemiological data. N52.8 provides a necessary option for cases that do not fit neatly into other categories.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of erectile dysfunction, enabling better tracking of treatment outcomes and epidemiological data. N52.8 provides a necessary option for cases that do not fit neatly into other categories.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What should be documented to support the use of N52.8?

Documentation should include the patient's history of erectile dysfunction, any previous treatments attempted, the duration and severity of symptoms, and any relevant comorbidities.