F52.4 vs N53.1
F52.4 (Premature ejaculation) compared with N53.1 (Ejaculatory dysfunction), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. N53.1 carries an Excludes1 note covering F52.4: “premature ejaculation (F52.4)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. N53.1 carries an Excludes1 note covering F52.4: “psychogenic sexual dysfunction (F52.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F52.4Premature ejaculation | N53.1Ejaculatory dysfunction | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | N00-N99 — Diseases of the Genitourinary System (N00-N99) |
| Definition | Premature ejaculation is a billable ICD-10-CM diagnosis code (F52.4). | Ejaculatory dysfunction is a non-billable ICD-10-CM category code (N53.1). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources