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N52.02

Billable

Corporo-venous occlusive erectile dysfunction

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

Is N52.02 an HCC code?

No. N52.02 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

N52.02 is the ICD-10-CM diagnosis code for corporo-venous occlusive erectile dysfunction. Erectile dysfunction caused by problems with blood vessel function in the penis that prevent blood from being retained during an erection. N52.02 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering diseases of male genital organs (n40-n53).

N52.02 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.

This code specifically indicates venous leakage without arterial insufficiency; do not use if arterial problems are also documented.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N52.02 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code specifically indicates venous leakage without arterial insufficiency; do not use if arterial problems are also documented
  • Ensure documentation clearly states corporo-venous occlusive dysfunction to distinguish from other vascular causes

Code Hierarchy

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