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ICD-10 Coding for Impotence(N52.01, N52.2, F52.21)

Complete ICD-10-CM coding and documentation guide for Impotence. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Erectile DysfunctionED

Related ICD-10 Code Ranges

Complete code families applicable to Impotence

N52Primary Range

Male erectile dysfunction

This range covers various types of organic erectile dysfunction, including vasculogenic, drug-induced, and post-procedural causes.

Psychogenic erectile dysfunction

This code is used when erectile dysfunction is attributed to psychological factors, excluding organic causes.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N52.01Erectile dysfunction due to arterial insufficiencyUse when Doppler ultrasound confirms arterial insufficiency as the cause of erectile dysfunction.
  • Peak systolic velocity (PSV) <25 cm/s on Doppler ultrasound
N52.2Erectile dysfunction due to drugsUse when erectile dysfunction is temporally related to the use of a specific medication.
  • Temporal relationship between drug initiation and onset of erectile dysfunction
F52.21Psychogenic erectile dysfunctionUse when erectile dysfunction is determined to be due to psychological factors with no organic cause.
  • Absence of organic causes after thorough evaluation

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 impotence due to arterial insufficiency

Essential facts and insights about Impotence

The ICD-10 code for impotence due to arterial insufficiency is N52.01, used when Doppler ultrasound confirms arterial insufficiency.

Primary ICD-10-CM Codes for impotence

Erectile dysfunction due to arterial insufficiency
Billable Code

Decision Criteria

clinical Criteria

  • Doppler ultrasound shows arterial insufficiency

Applicable To

  • Arterial insufficiency confirmed by Doppler

Excludes

  • Psychogenic erectile dysfunction (F52.21)

Clinical Validation Requirements

  • Peak systolic velocity (PSV) <25 cm/s on Doppler ultrasound

Code-Specific Risks

  • Incorrect use without Doppler confirmation

Coding Notes

  • Ensure Doppler ultrasound results are documented to support the use of this code.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Type 2 diabetes mellitus with other specified complication

E11.69
Use when diabetes is the underlying cause of erectile dysfunction.

Adverse effect of beta-blockers

T44.5X5A
Use to specify the drug causing erectile dysfunction.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Psychogenic erectile dysfunction

F52.21
Use F52.21 when erectile dysfunction is due to psychological factors and no organic cause is identified.

Erectile dysfunction due to arterial insufficiency

N52.01
Use N52.01 when Doppler confirms arterial insufficiency, not drug-related.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Impotence 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: Potential non-compliance with coding guidelines, Financial: Reduced reimbursement due to lack of specificity

Mitigation Strategy

Use structured templates for documentation, Ensure all diagnostic results are included in the patient record

Impact

Reimbursement: Potential for lower reimbursement, Compliance: Non-compliance with coding specificity requirements, Data Quality: Decreased data accuracy and specificity

Mitigation Strategy

Use specific codes like N52.01 or N52.2 when documentation supports them.

Impact

Using unspecified codes when specific diagnostic information is available.

Mitigation Strategy

Implement regular training on documentation and coding specificity.

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 Impotence, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Impotence

Use these documentation templates to ensure complete and accurate documentation for Impotence. These templates include all required elements for proper coding and billing.

Vasculogenic erectile dysfunction

Specialty: Urology

Required Elements

  • Patient history
  • Physical examination
  • Doppler ultrasound results
  • Testosterone levels

Example Documentation

65M reports 12-month history of inability to achieve erection despite sexual stimulation. Denies morning tumescence. History: HTN, CAD s/p stent (2023). Current meds: atenolol, atorvastatin. Penile Doppler: PSV 20 cm/s (bilaterally), EDV 5 cm/s. Labs: Testosterone 290 ng/dL, HbA1c 5.8%. Assessment: Vasculogenic ED (N52.01) due to arterial insufficiency. Plan: Switch to alternative antihypertensive; PDE5 inhibitor trial.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has ED.
Good Documentation Example
Persistent ED for 8 months. Morning testosterone 180 ng/dL (ref: 300-1,000). Penile Doppler shows bilateral arterial insufficiency (PSV 18 cm/s).
Explanation
The good example provides specific clinical findings and diagnostic results supporting the diagnosis.

Need help with ICD-10 coding for Impotence? Ask your questions below.

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