ICD-10 Code for Erectile Dysfunction
The ICD-10 code for erectile dysfunction is N52.9 for unspecified erectile dysfunction. However, more specific codes should be used when the etiology is known 1.
Specific ICD-10 Codes for Erectile Dysfunction
Erectile dysfunction can be classified more specifically based on etiology:
- N52.0: Erectile dysfunction due to diseases classified elsewhere
- N52.1: Erectile dysfunction due to drugs, medications, and substances
- N52.2: Erectile dysfunction due to following radical prostatectomy
- N52.3: Erectile dysfunction due to following other prostate surgery
- N52.31: Erectile dysfunction following radiation therapy
- N52.32: Erectile dysfunction following interstitial seed therapy
- N52.33: Erectile dysfunction following prostate ablative therapy
- N52.34: Erectile dysfunction following simple prostatectomy
- N52.35: Erectile dysfunction following radical cystectomy
- N52.36: Erectile dysfunction following urethral surgery
- N52.37: Erectile dysfunction following simple cystectomy
- N52.39: Other and unspecified post-surgical erectile dysfunction
- N52.8: Other male erectile dysfunction
- N52.9: Male erectile dysfunction, unspecified
Clinical Context for Proper Coding
When coding for erectile dysfunction, it's important to consider:
Etiology: The American Urological Association guidelines recommend a thorough medical, sexual, and psychosocial history to determine the underlying cause 1.
Risk factors: Document associated conditions like cardiovascular disease, diabetes, hypertension, or medication use that may contribute to ED 1.
Severity: Using validated questionnaires like the International Index of Erectile Function can help characterize frequency and severity 1.
Laboratory findings: Document relevant laboratory tests including HbA1c, fasting glucose, lipid profile, and testosterone levels if measured 1.
Coding Pitfalls to Avoid
- Avoid using N52.9 (unspecified) when a more specific code is applicable based on the documented etiology
- Don't code ED as a primary diagnosis when it's clearly secondary to another condition (use the appropriate N52.0 code and the code for the underlying condition)
- Be specific about medication-induced ED (N52.1) and document the specific medication
- Document post-surgical ED with the appropriate N52.3x code when applicable
Clinical Documentation Tips
For optimal coding accuracy:
- Document the specific etiology of ED when known
- Note whether ED is psychogenic, organic, or mixed in nature 1
- Include details about onset (sudden vs. gradual), progression, and response to treatments
- Document any associated risk factors or comorbidities
- Include relevant physical examination findings
Proper coding is essential not only for accurate billing but also for tracking epidemiological data and ensuring appropriate treatment planning for patients with erectile dysfunction 1.