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v1.0.0
ICD-10 Guide
ICD-10 CodesN53.1

N53.1

Billable

Ejaculatory dysfunction

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

Code Description

ICD-10 N53.1 is a billable code used to indicate a diagnosis of ejaculatory dysfunction.

Key Diagnostic Point:

Ejaculatory dysfunction refers to a range of disorders affecting the ejaculation process in males, which can manifest as delayed ejaculation, premature ejaculation, or anejaculation (the inability to ejaculate). This condition can significantly impact sexual health and relationships, leading to psychological distress and decreased quality of life. Ejaculatory dysfunction may arise from various factors, including psychological issues (such as anxiety or depression), hormonal imbalances, neurological disorders, or side effects from medications. It is essential for healthcare providers to conduct a thorough assessment, including a detailed medical history and physical examination, to identify underlying causes. Treatment options may include behavioral therapies, pharmacological interventions, or counseling, depending on the etiology. Accurate coding of ejaculatory dysfunction is crucial for appropriate management and reimbursement, as it reflects the complexity of male sexual health issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (psychological, physiological, medication-related)
  • Overlap with other sexual dysfunction codes (e.g., erectile dysfunction)
  • Need for comprehensive patient history and documentation
  • Potential for misdiagnosis or underreporting

Audit Risk Factors

  • Inadequate documentation of patient history and symptoms
  • Failure to specify the type of ejaculatory dysfunction
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of supporting evidence for treatment provided

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including sexual history, psychological assessment, and any previous treatments.

Common Clinical Scenarios

Patients presenting with complaints of delayed ejaculation or anejaculation, often following prostate surgery.

Billing Considerations

Consideration of comorbid conditions such as diabetes or cardiovascular disease that may affect sexual function.

Psychiatry

Documentation Requirements

Thorough psychological evaluation, including assessment of anxiety, depression, and relationship issues.

Common Clinical Scenarios

Patients experiencing ejaculatory dysfunction secondary to anxiety or stress-related disorders.

Billing Considerations

Documentation of any therapeutic interventions, including cognitive-behavioral therapy or medication adjustments.

Coding Guidelines

Inclusion Criteria

Use N53.1 When
  • According to ICD
  • 10 guidelines, N53
  • 1 should be used when the primary issue is ejaculatory dysfunction without a specified cause
  • Coders should ensure that the documentation supports the diagnosis and that any related conditions are coded appropriately

Exclusion Criteria

Do NOT use N53.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits regarding ejaculatory dysfunction management.

Documentation Requirements

Document patient history, treatment response, and any changes in symptoms.

Specialty Considerations

Urologists may require additional details on sexual health history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ejaculatory dysfunction, enabling better tracking of prevalence and treatment outcomes. This specificity aids in research and improves patient care by allowing for tailored treatment approaches.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ejaculatory dysfunction, enabling better tracking of prevalence and treatment outcomes. This specificity aids in research and improves patient care by allowing for tailored treatment approaches.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ejaculatory dysfunction, enabling better tracking of prevalence and treatment outcomes. This specificity aids in research and improves patient care by allowing for tailored treatment approaches.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the difference between ejaculatory dysfunction and erectile dysfunction?

Ejaculatory dysfunction specifically refers to issues related to the ejaculation process, such as delayed ejaculation or anejaculation, while erectile dysfunction pertains to the inability to achieve or maintain an erection. Both conditions can coexist and may have overlapping causes.