F52.1 ICD-10-CM Code: Sexual aversion disorder
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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)
F52.1
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceSexual aversion disorder
A condition where a person experiences persistent fear, anxiety, or disgust related to sexual contact, leading them to avoid sexual situations. This is a psychological disorder that affects sexual function and relationships.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Sexual aversion and lack of sexual enjoyment
Excludes 2
Official- Dhat syndrome (F48.8)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F52.1 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for F52.1 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F52.1 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F52.1 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F52.1 in this effective period.
Buddy Documentation Tip
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.
Is F52.1 an HCC code?
No. F52.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F52.1 is the ICD-10-CM diagnosis code for sexual aversion disorder. A condition where a person experiences persistent fear, anxiety, or disgust related to sexual contact, leading them to avoid sexual situations. This is a psychological disorder that affects sexual function and relationships. F52.1 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).
F52.1 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 documentation clearly indicates the patient has an aversion (avoidance/fear response) to sexual contact rather than other sexual dysfunctions like low desire or arousal issues.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F52.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Ensure documentation clearly indicates the patient has an aversion (avoidance/fear response) to sexual contact rather than other sexual dysfunctions like low desire or arousal issues
- •Verify this code is used for the disorder itself; if sexual dysfunction is secondary to another condition (trauma, depression, medication), consider coding the primary condition as well