ICD-10 Coding for Erectile Dysfunction(N52.01, N52.11)
Complete ICD-10-CM coding and documentation guide for Erectile Dysfunction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Erectile Dysfunction
N52Primary Range
Male erectile dysfunction
This range includes all primary codes for erectile dysfunction, covering various etiologies such as vasculogenic, psychogenic, and post-surgical causes.
Sexual dysfunction not due to a substance or known physiological condition
This range includes psychogenic erectile dysfunction, which is distinct from 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 Doppler ultrasound confirms arterial insufficiency as the cause of ED. |
|
| N52.11 | Erectile dysfunction due to diseases classified elsewhere | Use when ED is secondary to another disease, such as diabetes. |
|
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 dysfunction
Essential facts and insights about Erectile Dysfunction
Primary ICD-10-CM Codes for erectile dysfunction
Decision Criteria
clinical Criteria
- Doppler ultrasound confirms arterial insufficiency.
Applicable To
- Vasculogenic erectile dysfunction
Excludes
- Psychogenic erectile dysfunction (F52.21)
Clinical Validation Requirements
- Doppler ultrasound showing peak systolic velocity <25 cm/s
Code-Specific Risks
- Misclassification if Doppler results are not documented.
Coding Notes
- Ensure Doppler results are included in the documentation to support this code.
N52.11 - Erectile dysfunction due to diseases classified elsewhere
Use when ED is secondary to another disease, such as diabetes.
Applicable To
- ED due to diabetes
Excludes
- ED due to psychogenic factors (F52.21)
Clinical Validation Requirements
- Documentation of underlying disease such as diabetes with HbA1c levels.
Coding Notes
Ensure the underlying condition is coded first to maintain proper sequencing.
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 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: May lead to inappropriate treatment plans., Regulatory: Increases risk of audit and compliance issues., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Ensure thorough patient history and test results are documented.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit due to non-specific coding., Data Quality: Decreases data accuracy and quality for clinical research.
Mitigation Strategy
Review clinical documentation to identify specific etiology and use the appropriate code.
Impact
Frequent use of N52.9 without supporting documentation.
Mitigation Strategy
Encourage specific diagnostic testing and documentation.
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 Dysfunction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Erectile Dysfunction
Use these documentation templates to ensure complete and accurate documentation for Erectile Dysfunction. These templates include all required elements for proper coding and billing.
Urology Consultation for Erectile Dysfunction
Specialty: UrologyRequired Elements
- Patient history including onset and duration of ED
- Relevant lab results such as testosterone levels
- Imaging results like Doppler ultrasound
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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