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ICD-10 Guide
ICD-10 CodesN53.13

N53.13

Billable

Anejaculatory orgasm

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

Code Description

ICD-10 N53.13 is a billable code used to indicate a diagnosis of anejaculatory orgasm.

Key Diagnostic Point:

Anejaculatory orgasm is a condition characterized by the inability to ejaculate despite experiencing orgasm. This disorder can significantly impact a man's sexual health and overall quality of life. It may occur due to various factors, including psychological issues, neurological disorders, hormonal imbalances, or as a side effect of certain medications. The condition can be classified into primary and secondary types; primary anejaculation occurs in individuals who have never been able to ejaculate, while secondary anejaculation develops after a period of normal ejaculation. Diagnosis typically involves a thorough medical history, physical examination, and possibly additional tests to rule out underlying conditions. Treatment options may include counseling, medication adjustments, or the use of assistive devices. Understanding the complexities of anejaculatory orgasm is crucial for healthcare providers to offer appropriate interventions and support.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (psychological, neurological, hormonal)
  • Differentiation from other ejaculatory disorders
  • Need for comprehensive patient history and examination
  • Potential overlap with erectile dysfunction codes

Audit Risk Factors

  • Inadequate documentation of patient history
  • Failure to specify the type of anejaculation (primary vs. secondary)
  • Misclassification with erectile dysfunction codes
  • Lack of evidence for treatment rationale

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed sexual health history, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with sexual dysfunction, including anejaculation and erectile dysfunction.

Billing Considerations

Consideration of psychological factors and potential referrals to mental health professionals.

Psychiatry

Documentation Requirements

Assessment of psychological factors contributing to sexual dysfunction, including mental health history.

Common Clinical Scenarios

Patients with anxiety or depression presenting with sexual dysfunction.

Billing Considerations

Coordination with urology for comprehensive management of sexual health.

Coding Guidelines

Inclusion Criteria

Use N53.13 When
  • According to ICD
  • 10 coding guidelines, N53
  • 13 should be used when the primary issue is anejaculation without other specified conditions
  • It is important to document the patient's sexual health history and any contributing factors

Exclusion Criteria

Do NOT use N53.13 When
  • Exclusion criteria include conditions that do not directly relate to anejaculation

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits regarding sexual health concerns.

Documentation Requirements

Document the patient's sexual health history and treatment progress.

Specialty Considerations

Urologists and primary care providers should ensure comprehensive documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sexual health disorders, including anejaculatory orgasm. This specificity aids in better tracking of sexual health issues and improves the ability to analyze treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sexual health disorders, including anejaculatory orgasm. This specificity aids in better tracking of sexual health issues and improves the ability to analyze treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sexual health disorders, including anejaculatory orgasm. This specificity aids in better tracking of sexual health issues and improves the ability to analyze treatment outcomes.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is anejaculatory orgasm?

Anejaculatory orgasm is a condition where a person experiences orgasm but is unable to ejaculate. It can be caused by various factors, including psychological issues, neurological disorders, and medication side effects.