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F52.0

Billable

Hypoactive sexual desire disorder

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is F52.0 an HCC code?

No. F52.0 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

F52.0 is the ICD-10-CM diagnosis code for hypoactive sexual desire disorder. A persistent lack of interest or desire for sexual activity that causes distress or relationship problems. F52.0 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).

F52.0 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Ensure the condition is not attributable to a medical condition, medication, or substance use; if it is, code the underlying cause instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F52.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Ensure the condition is not attributable to a medical condition, medication, or substance use; if it is, code the underlying cause instead
  • Document whether this affects the individual, partner, or both to support medical necessity

Excludes 1 — Do NOT code together

Code Hierarchy

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