Sexual dysfunction, unspecified
In Symptoms and signs involving the genitourinary system (R30-R39), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings
- R37 is an unspecified code: use it only when the record doesn't document anything more specific. If the record has more detail, check the other codes under R30-R39 below.
- As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
- Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
- AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
Also indexed as: Dysfunction, sexual
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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 when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.
- Use of symptom codes (page 75)
- Use of a symptom code with a definitive diagnosis code (page 75)
- Combination codes that include symptoms (page 75)
- Repeated falls (page 76)
- Coma (page 76)
- Functional quadriplegia (page 76)
- SIRS due to Non-Infectious Process (page 77)
- Death NOS (page 77)
Other codes under R30-R39
Symptoms and signs involving the genitourinary system (R30-R39)
R37 MS-DRG
As the principal diagnosis, R37 groups to MS-DRG 887 (v44.0).
Related conditions
Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.
R37 is in Miscellaneous mental and behavioral disorders/conditions (MBD013, its default category), with 53 codes. Others in it:
- F06.8 Other specified mental disorders due to known physiological condition
- F07.9 Unspecified personality and behavioral disorder due to known physiological condition
- F09 Unspecified mental disorder due to known physiological condition
- F48.8 Other specified nonpsychotic mental disorders
- F48.9 Nonpsychotic mental disorder, unspecified
- F52.0 Hypoactive sexual desire disorder
- F52.1 Sexual aversion disorder
- F52.21 Male erectile disorder
Medicare coverage articles listing R37
These 5 Medicare billing and coding articles list R37 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.
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.
Read more about sexual health on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
ICD-9-CM equivalent
Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).
- 302.70 Psychosexual dysfunction, unspecified (approximate)