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F52 ICD-10-CM Code: Sexual dysfunction not due to a substance or known physiological condition

ICD-10-CM Code View

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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)

F52

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Sexual dysfunction not due to a substance or known physiological condition

Sexual dysfunction not due to a substance or known physiological condition

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
F5Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)
F52Sexual dysfunction not due to a substance or known physiological condition

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F52 in this effective period.

Excludes 2

Official
  • Dhat syndrome (F48.8)

Related Child Codes

Official
F52.0Hypoactive sexual desire disorder
F52.1Sexual aversion disorder
F52.2Sexual arousal disorders
F52.3Orgasmic disorder
F52.4Premature ejaculation

Includes

Official

ICD-10-CM does not list Includes notes for F52 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for F52 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F52 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F52 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F52 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

F52 is the ICD-10-CM diagnosis code for sexual dysfunction not due to a substance or known physiological condition. F52 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering behavioral syndromes associated with physiological disturbances and physical factors (f50-f59).

Header codes like F52 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at F52's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F52 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

Child Codes

Code Hierarchy

F52Sexual dysfunction not due to a substance or known physiological condition
F52Sexual dysfunction not due to a substance or known physiological condition

Work F52 in HCC Buddy

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