ICD-10 F52
Non-Billable HeaderSexual dysfunction not due to a substance or known physiological condition
About ICD-10-CM F52
ICD-10-CM code F52 represents Sexual dysfunction not due to a substance or known physiological condition. This is a non-billable header code in the Mental, Behavioral, and Neurodevelopmental chapter (block F52). The 2026 edition of ICD-10-CM F52 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 2 Excludes
Not included here, the excluded code is not part of F52, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- Dhat syndrome (F48.8)
Medicare LCD Coverage for F52
Local Coverage Determinations (LCDs) from CMS MACs that list F52 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F52.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but F52 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with F52
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To F52
Other codes in section F50-F59 (Behavioral syndromes associated with physiological disturbances and physical factors).
ICD-10 F52, Billing FAQ
Is ICD-10 code F52 billable? +
No, F52 is a non-billable header code. Use a more specific child code from block F52 when submitting claims.
What codes are Type 2 Excludes for F52? +
Type 2 Excludes (may be coded together when both conditions exist): Dhat syndrome (F48.8)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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