N52.9
BillableMale erectile dysfunction, unspecified
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N52.9 an HCC code?
No. N52.9 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
N52.9 is the ICD-10-CM diagnosis code for male erectile dysfunction, unspecified. Difficulty achieving or maintaining an erection when the specific cause or type is not documented or identified. N52.9 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).
N52.9 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 is the least specific erectile dysfunction code; query the provider for additional clinical detail to assign a more specific N52 code.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N52.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is the least specific erectile dysfunction code; query the provider for additional clinical detail to assign a more specific N52 code
- •Use only when the medical record lacks sufficient information to determine the etiology of the erectile dysfunction