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ICD-10 Guide
ICD-10 CodesN53.19

N53.19

Billable

Other ejaculatory dysfunction

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

Code Description

ICD-10 N53.19 is a billable code used to indicate a diagnosis of other ejaculatory dysfunction.

Key Diagnostic Point:

Ejaculatory dysfunction encompasses a range of disorders affecting the male reproductive system, specifically the ability to ejaculate. This condition can manifest as premature ejaculation, delayed ejaculation, or anejaculation, which can significantly impact a man's sexual health and overall quality of life. The etiology of ejaculatory dysfunction can be multifactorial, including psychological factors such as anxiety or depression, physiological issues like hormonal imbalances or nerve damage, and side effects from medications. Accurate diagnosis often requires a thorough medical history, physical examination, and sometimes additional tests to rule out underlying conditions. Treatment options vary based on the underlying cause and may include behavioral therapy, pharmacological interventions, or surgical options. Understanding the nuances of ejaculatory dysfunction is crucial for effective management and coding, as it can overlap with other sexual health disorders, necessitating careful documentation and coding practices.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (psychological, physiological, medication-related)
  • Overlap with other sexual dysfunction codes
  • Need for detailed patient history and documentation
  • Potential for multiple diagnoses in a single patient

Audit Risk Factors

  • Inadequate documentation of the patient's history and symptoms
  • Failure to specify the type of ejaculatory dysfunction
  • Coding without supporting clinical evidence
  • Misclassification of ejaculatory dysfunction as erectile dysfunction

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with complaints of premature ejaculation, delayed ejaculation, or anejaculation.

Billing Considerations

Urologists should document any psychological assessments or referrals to mental health professionals.

Psychiatry

Documentation Requirements

Mental health evaluations, treatment plans, and progress notes.

Common Clinical Scenarios

Patients with ejaculatory dysfunction linked to anxiety, depression, or other psychological factors.

Billing Considerations

Psychiatrists should document any pharmacological treatments that may affect sexual function.

Coding Guidelines

Inclusion Criteria

Use N53.19 When
  • According to ICD
  • 10 coding guidelines, N53
  • 19 should be used when the specific type of ejaculatory dysfunction is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use N53.19 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54000CPT Code

Cystoscopy

Clinical Scenario

Used in cases where ejaculatory dysfunction may be related to anatomical abnormalities.

Documentation Requirements

Indication for cystoscopy and findings must be documented.

Specialty Considerations

Urologists should ensure that the reason for the procedure is clearly linked to the ejaculatory dysfunction.

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 treatment outcomes and epidemiological data. 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 treatment outcomes and epidemiological data. 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 treatment outcomes and epidemiological data. 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 N53.19 and other ejaculatory dysfunction codes?

N53.19 is used when the specific type of ejaculatory dysfunction is not classified elsewhere. It serves as a catch-all for various ejaculatory issues that do not fit into more specific categories.