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v1.0.0
ICD-10 Guide
ICD-10 CodesR68.82

R68.82

Decreased libido

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

Code Description

ICD-10 R68.82 is a billable code used to indicate a diagnosis of decreased libido.

Key Diagnostic Point:

Decreased libido, or reduced sexual desire, is a complex symptom that can arise from a multitude of physiological, psychological, and social factors. It is characterized by a diminished interest in sexual activity, which can be a distressing condition for individuals and couples. The etiology of decreased libido can include hormonal imbalances (such as low testosterone levels in men or estrogen deficiencies in women), psychological factors (such as depression, anxiety, or stress), medical conditions (like diabetes or thyroid disorders), and certain medications (such as antidepressants or antihypertensives). The impact of decreased libido can vary widely, affecting personal relationships and overall quality of life. Clinicians must conduct a thorough assessment, including a detailed medical history, physical examination, and possibly laboratory tests to identify underlying causes. This may involve evaluating hormone levels, assessing mental health, and reviewing medication use. Understanding the multifaceted nature of decreased libido is essential for effective diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with psychological conditions
  • Influence of medications and lifestyle factors
  • Need for comprehensive patient history

Audit Risk Factors

  • Inadequate documentation of underlying causes
  • Failure to differentiate from other sexual dysfunction codes
  • Lack of patient history regarding medications
  • Insufficient detail on psychological assessments

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including medication review and psychosocial factors.

Common Clinical Scenarios

Patients presenting with fatigue, depression, or chronic illness.

Billing Considerations

Consider hormonal evaluations and mental health screenings.

Emergency Medicine

Documentation Requirements

Acute care documentation must include immediate assessments and any relevant history.

Common Clinical Scenarios

Patients presenting with acute stress or trauma affecting libido.

Billing Considerations

Rapid assessment of psychological state and potential acute medical issues.

Coding Guidelines

Inclusion Criteria

Use R68.82 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when decreased libido is documented and not attributable to other specific conditions

Exclusion Criteria

Do NOT use R68.82 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when evaluating a patient for decreased libido during a routine visit.

Documentation Requirements

Document the patient's history, examination findings, and any assessments performed.

Specialty Considerations

Internal medicine may require additional documentation of chronic conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like decreased libido, improving the ability to capture the complexity of patient presentations and facilitating better data collection for research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like decreased libido, improving the ability to capture the complexity of patient presentations and facilitating better data collection for research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like decreased libido, improving the ability to capture the complexity of patient presentations and facilitating better data collection for research and treatment outcomes.

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

What should be documented to support the use of R68.82?

Document the patient's symptoms, any relevant medical history, psychological evaluations, and any medications that may contribute to decreased libido.