F52.9 — Unspecified sexual dysfunction not due to a substance or known physiological condition
Is F52.9 billable?
Yes, but F52.9 is an unspecified code. F52.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, F52.9 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting F52.9 — the more specific alternatives are listed below.
More specific alternatives
- F52.0Hypoactive sexual desire disorder
- F52.1Sexual aversion disorder
- F52.2Sexual arousal disordersnot billable
- F52.3Orgasmic disordernot billable
- F52.4Premature ejaculation
- F52.5Vaginismus not due to a substance or known physiological condition
- F52.6Dyspareunia not due to a substance or known physiological condition
- F52.8Other sexual dysfunction not due to a substance or known physiological condition
F52.9 at a glance
| Code | F52.9 |
|---|---|
| Description | Unspecified sexual dysfunction not due to a substance or known physiological condition |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to F52.9?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name F52.9 directly.
CMS will reject this code as the principal diagnosis on an inpatient claim. It describes something other than the condition chiefly responsible for the admission.
Which MS-DRGs does F52.9 group to?
F52.9 sits in MDC 19 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 887Other Mental Disorder Diagnosesmedical
How is F52.9 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F52.9. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Dysfunction › psychosexual
- Problem › sexual function (with) (related to)
- Sexual › function, disorder of
- Disorder › psychogenic NOS › sexual (of)
- Disorder › sexual › function, psychogenic (of)
- Disorder › sexual › nonorganic (of)
- Dysfunction › sexual › nonorganic
- Dysfunction › sexual › psychogenic
- Dysfunction › sexual › female › psychogenic
- Dysfunction › sexual › male › psychogenic
Inclusion terms
Alternative wording in documentation that is classified to F52.9.
- Sexual dysfunction NOS
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F52.9, but a patient may have both at the same time. When documentation supports it, F52.9 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Excludes2 — not included here — inherited from F52
The conditions below are not part of F52.9, but a patient may have both at the same time. When documentation supports it, F52.9 and the excluded code may both be reported.
- Dhat syndrome (F48.8)
How long has F52.9 existed?
F52.9 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the F52 family? (8)
- F52.0Hypoactive sexual desire disorder
- F52.1Sexual aversion disorder
- F52.2Sexual arousal disordersnot billable
- F52.3Orgasmic disordernot billable
- F52.4Premature ejaculation
- F52.5Vaginismus not due to a substance or known physiological condition
- F52.6Dyspareunia not due to a substance or known physiological condition
- F52.8Other sexual dysfunction not due to a substance or known physiological condition