R37 — Sexual dysfunction, unspecified
R37 is a billable, specific ICD-10-CM code for sexual dysfunction, unspecified. It is valid for submission on a claim.
Risk adjustment
R37 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
R37 is named in 7 Medicare coverage policies — 6 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57052Billing and Coding: Psychiatric Inpatient Hospitalization
- A57053Billing and Coding: Psychiatric Partial Hospitalization Programs
How R37 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 R37.
- Dysfunction›sexual(due to)
Questions about R37
- Is R37 a billable ICD-10-CM code?
- Yes. R37 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R37 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the genitourinary system (R30-R39).