F52.6

F52.6: Dyspareunia not due to a substance or known physiological condition

Billable / specific codeICD-10-CM

F52.6 is a billable, specific ICD-10-CM code for dyspareunia not due to a substance or known physiological condition. It is valid for submission on a claim.

Check F52.6 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

dyspareunia (due to a known physiological condition) (N94.1-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Genito-pelvic pain penetration disorder
Psychogenic dyspareunia

Excludes2 inherited from the categories above F52.6

Not part of this code, but both may be coded when both are present.

Written on F52: Sexual dysfunction not due to a substance or known physiological condition

Dhat syndrome (F48.8)

Other codes that can never be billed with F52.6

Their own Excludes1 notes name this code, so the conflict is not listed above.

N94.1Dyspareunia
N53Other male sexual dysfunction

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F52.6 is named in 11 Medicare coverage policies: 9 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
A56937Billing and Coding: Psychiatry and Psychology Services
A57052Billing and Coding: Psychiatric Inpatient Hospitalization

Alphabetic index entries that lead here

Coitus, painful›psychogenic
Disorder›genito-pelvic pain penetration
Dyspareunia›nonorganic
Dyspareunia›psychogenic
Disorder›pain›genito-pelvic penetration disorder
Ejaculation›semen, painful›psychogenic
Painful›coitus›psychogenic
Painful›ejaculation›psychogenic
Dysfunction›psychosexual›with›dyspareunia
Dysfunction›sexual›female›dyspareunia›psychogenic
Dysfunction›sexual›female›psychogenic›dyspareunia

Code history

Unchanged in every release from FY2024 to FY2027.