ICD-10 Coding for Erectile Disorder(N52.01, F52.21)
Complete ICD-10-CM coding and documentation guide for Erectile Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Erectile Disorder
N52Primary Range
Male erectile dysfunction
This range includes codes for various etiologies of erectile dysfunction, including organic and psychogenic causes.
Sexual dysfunction not due to a substance or known physiological condition
This range includes psychogenic erectile dysfunction, which is important for distinguishing non-organic causes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N52.01 | Erectile dysfunction due to arterial insufficiency | Use when erectile dysfunction is primarily due to arterial insufficiency confirmed by diagnostic testing. |
|
| F52.21 | Psychogenic erectile dysfunction | Use when erectile dysfunction is primarily due to psychological factors with normal physical examination and testing. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for erectile disorder
Essential facts and insights about Erectile Disorder
Primary ICD-10-CM Codes for erectile disorder
Decision Criteria
clinical Criteria
- Confirmed arterial insufficiency via Doppler
Applicable To
- Vasculogenic erectile dysfunction
Excludes
- Psychogenic erectile dysfunction (F52.21)
Clinical Validation Requirements
- Arterial insufficiency confirmed by penile Doppler showing PSV <25 cm/s
Code-Specific Risks
- Incorrectly coding without confirmed diagnostic testing can lead to denials.
Coding Notes
- Ensure documentation includes specific diagnostic test results to support the use of this code.
F52.21 - Psychogenic erectile dysfunction
Use when erectile dysfunction is primarily due to psychological factors with normal physical examination and testing.
Applicable To
- Performance anxiety
Excludes
- Organic erectile dysfunction (N52.0-N52.9)
Clinical Validation Requirements
- Psychological evaluation confirming psychogenic factors
- Normal nocturnal penile tumescence testing
Coding Notes
Ensure psychological factors are well-documented in the patient's chart.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Atherosclerosis
I70.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Erectile Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N52.01.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Use specific language to describe symptoms and test results, Ensure all relevant clinical findings are documented
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of clinical data.
Mitigation Strategy
Identify and document the specific cause of erectile dysfunction to use the most accurate code.
Impact
Frequent use of unspecified codes like N52.9 can trigger audits.
Mitigation Strategy
Ensure specific etiologies are documented and coded appropriately.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Erectile Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Erectile Disorder
Use these documentation templates to ensure complete and accurate documentation for Erectile Disorder. These templates include all required elements for proper coding and billing.
Urology assessment for erectile dysfunction
Specialty: UrologyRequired Elements
- Onset and duration of symptoms
- IIEF-5 score
- Diagnostic test results
- Contributing factors
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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