N52.1 — Erectile dysfunction due to diseases classified elsewhere
N52.1 is a billable, specific ICD-10-CM code for erectile dysfunction due to diseases classified elsewhere. It is valid for submission on a claim.
Code first
The underlying condition must be sequenced before this code.
- underlying disease
Risk adjustment
N52.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N52.1 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56758Billing and Coding: Non-Invasive Vascular Studies
- A56923Billing and Coding: Outpatient Sleep Studies
How N52.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N52.1.
- Dysfunction›sexual›male›erectile›due to›disease classified elsewhere
Related codes at this level
Codes that share N52. If N52.1 is not quite right, the correct code is usually one of these.
Questions about N52.1
- Is N52.1 a billable ICD-10-CM code?
- Yes. N52.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N52.1 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Diseases of male genital organs (N40-N53).