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v1.0.0
ICD-10 Guide
ICD-10 CodesR37

R37

Sexual dysfunction, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R37 is a billable code used to indicate a diagnosis of sexual dysfunction, unspecified.

Key Diagnostic Point:

Sexual dysfunction, unspecified (ICD-10 code R37) refers to a range of sexual health issues that do not fall into specific categories of dysfunction. This can include problems with sexual desire, arousal, or orgasm, as well as pain during intercourse. Symptoms may manifest as a lack of interest in sexual activity, difficulty achieving or maintaining an erection, or experiencing discomfort during sexual intercourse. The etiology of sexual dysfunction can be multifactorial, including psychological factors such as anxiety or depression, physiological issues like hormonal imbalances or chronic illnesses, and lifestyle factors such as substance abuse or stress. Given the sensitive nature of sexual health, accurate documentation is crucial for effective diagnosis and treatment. Clinicians must conduct thorough assessments, including patient history and physical examinations, to identify underlying causes and tailor appropriate interventions. This code is often used when the specific nature of the dysfunction is not clearly defined or when further evaluation is needed to determine the exact cause.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes (psychological, physiological, lifestyle)
  • Need for comprehensive patient history and examination
  • Sensitivity of the subject matter may lead to incomplete documentation
  • Overlap with other sexual dysfunction codes

Audit Risk Factors

  • Inadequate documentation of symptoms and patient history
  • Failure to specify the nature of the dysfunction
  • Use of R37 when a more specific code is applicable
  • Lack of supporting clinical findings or assessments

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including medical, sexual, and psychosocial history; physical examination findings.

Common Clinical Scenarios

Patients presenting with complaints of low libido, erectile dysfunction, or sexual pain without clear etiology.

Billing Considerations

Consideration of comorbid conditions such as diabetes or cardiovascular disease that may contribute to sexual dysfunction.

Emergency Medicine

Documentation Requirements

Acute assessment of sexual dysfunction, including any trauma or acute psychological distress.

Common Clinical Scenarios

Patients presenting with acute sexual dysfunction following trauma or acute illness.

Billing Considerations

Rapid assessment and documentation are crucial; ensure to capture any acute psychological factors.

Coding Guidelines

Inclusion Criteria

Use R37 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the specific nature of the sexual dysfunction is not documented
  • Ensure that all relevant clinical findings are recorded to support the use of this unspecified code

Exclusion Criteria

Do NOT use R37 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits where sexual dysfunction is discussed.

Documentation Requirements

Document the patient's history, examination findings, and any treatment plans.

Specialty Considerations

Internal medicine providers should ensure comprehensive documentation to support the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding sexual dysfunction, but R37 remains a catch-all for unspecified cases. Coders must be diligent in documenting the reasons for using this code to avoid potential audit issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding sexual dysfunction, but R37 remains a catch-all for unspecified cases. Coders must be diligent in documenting the reasons for using this code to avoid potential audit issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding sexual dysfunction, but R37 remains a catch-all for unspecified cases. Coders must be diligent in documenting the reasons for using this code to avoid potential audit issues.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use R37 instead of a more specific code?

Use R37 when the specific nature of the sexual dysfunction is not documented or when further evaluation is needed to determine the cause.