Is ICD-10-CM code F52 billable?

No, F52 (Sexual dysfunction not due to a substance or known physiological condition) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code F52 belong to?

F52 belongs to Chapter 5 of the ICD-10-CM tabular list: F01–F99 (Mental, Behavioral and Neurodevelopmental Disorders).

F52Not billable, use a more specific code below

Sexual dysfunction not due to a substance or known physiological condition

In Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders

11 billable codes under F52: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes2: not included here, code separately if applicable

Dhat syndrome (F48.8)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers psychological pain disorders, substance use, abuse, dependence and remission, factitious disorder including Munchausen by proxy, and dementia severity.

Pain disorders related to psychological factors (page 43)
Mental and behavioral disorders due to psychoactive substance use (page 43)
Factitious Disorder (page 44)
Dementia (page 45)

Read Section I.C.5 (page 43)

All codes under F52

F52 can't be used on a claim. Pick a billable code below; grey headings group them.

F52 MS-DRGs

As the principal diagnosis, the billable codes under F52 group to MS-DRG 887, 742, 743, 760, or 761 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 887 Other Mental Disorder Diagnoses (10 of 11 codes)
DRG 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC (1 of 11 codes)
DRG 743 Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC (1 of 11 codes)
DRG 760 Menstrual and Other Female Reproductive System Disorders with CC/MCC (1 of 11 codes)
DRG 761 Menstrual and Other Female Reproductive System Disorders without CC/MCC (1 of 11 codes)

Other codes that refer to F52

Notes on these codes point to F52.

F45 Excludes2: sexual dysfunction, not due to a substance or known physiological condition (F52.-)
N53 Excludes1: psychogenic sexual dysfunction (F52.-)
O99.34 Includes: Conditions in F01-F09, F20-F52 and F54-F99

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Sexual Health

Sexuality is a big part of being human. Love, affection and sexual intimacy all play a role in healthy relationships. They also contribute to your sense of well-being. A number of disorders can affect the ability to have or enjoy sex in both men and women.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.