ICD-10 Coding for Male Erectile Dysfunction(N52.01, F52.21)
Complete ICD-10-CM coding and documentation guide for Male Erectile Dysfunction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Male Erectile Dysfunction
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 ED is confirmed to be due to arterial insufficiency. |
|
| F52.21 | Psychogenic erectile dysfunction | Use when ED is primarily due to psychological factors. |
|
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 male erectile dysfunction
Essential facts and insights about Male Erectile Dysfunction
Primary ICD-10-CM Codes for male erectile dysfunction
Decision Criteria
clinical Criteria
- PSV <25 cm/s on duplex ultrasound
Applicable To
- Arterial insufficiency
Excludes
- Psychogenic erectile dysfunction (F52.21)
Clinical Validation Requirements
- PSV <25 cm/s on duplex ultrasound
Code-Specific Risks
- Misclassification if arterial insufficiency is not confirmed by tests.
Coding Notes
- Ensure arterial insufficiency is documented with appropriate tests.
F52.21 - Psychogenic erectile dysfunction
Use when ED is primarily due to psychological factors.
Applicable To
- Erectile dysfunction due to psychological factors
Excludes
- Organic erectile dysfunction (N52.x)
Clinical Validation Requirements
- Normal nocturnal penile tumescence
- SHIM score ≤16
Coding Notes
Document psychological factors and normal nocturnal penile tumescence.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Male Erectile Dysfunction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N52.01.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Increases risk of audits., Financial: May result in claim denials.
Mitigation Strategy
Always document the underlying cause when known., Use specific codes that reflect the documented cause.
Impact
Reimbursement: May lead to claim denials., Compliance: Increases risk of audits., Data Quality: Reduces specificity and accuracy of data.
Mitigation Strategy
Use specific codes like N52.01 or F52.21 when the cause is known.
Impact
Using unspecified codes when specific causes are documented.
Mitigation Strategy
Ensure documentation supports the use of specific codes.
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 Male Erectile Dysfunction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Male Erectile Dysfunction
Use these documentation templates to ensure complete and accurate documentation for Male Erectile Dysfunction. These templates include all required elements for proper coding and billing.
Vasculogenic Erectile Dysfunction
Specialty: UrologyRequired Elements
- Patient history
- Physical examination findings
- Doppler ultrasound results
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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