F52.9

F52.9: Unspecified sexual dysfunction not due to a substance or known physiological condition

Billable / specific codeICD-10-CM

F52.9 is a billable, specific ICD-10-CM code for unspecified sexual dysfunction not due to a substance or known physiological condition. It is valid for submission on a claim.

Check F52.9 with the rest of the claim: free scrubber

Inclusion terms

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

Sexual dysfunction NOS

Excludes2 inherited from the categories above F52.9

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 F52.9

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

N53Other male sexual dysfunction

Risk adjustment

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

Medicare coverage

F52.9 is named in 10 Medicare coverage policies: 4 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A57701Billing and Coding: Trigger Point Injections (TPI)not covered
A59480Billing and Coding: Trigger Point Injections (TPI)not covered
A59487Billing and Coding: Trigger Point Injections (TPI)not covered

Alphabetic index entries that lead here

Dysfunction›psychosexual
Problem›sexual function(nonorganic)
Sexual›function, disorder of(psychogenic)
Disorder›psychogenic NOS›sexual(function)
Disorder›sexual›function, psychogenic
Disorder›sexual›nonorganic
Dysfunction›sexual›nonorganic
Dysfunction›sexual›psychogenic
Dysfunction›sexual›female›psychogenic
Dysfunction›sexual›male›psychogenic

Code history

Unchanged in every release from FY2024 to FY2027.