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F52.6 ICD-10-CM Code: Dyspareunia not due to a substance or known physiological condition

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Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 inclusion terms · 2 Excludes2

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Excludes2Not included here; may be reported together
  • dyspareunia (due to a known physiological condition) (N94.1-)
  • Dhat syndrome (F48.8)
IncludesWhat this code covers
  • Genito-pelvic pain penetration disorder
  • Psychogenic dyspareunia

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 887 — OTHER MENTAL DISORDER DIAGNOSES (MDC 19)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for F52.6 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on F52.6 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Genito-pelvic pain penetration disorder
  • Psychogenic dyspareunia

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Coder workflow for F52.6

MedCoder structured workflow — derived from this code’s own official record

Before you code F52.6

  1. F52.6’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes2 — not part of F52.6(2 notes)

    Coding workflow: The conditions named in this note are not included in F52.6. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareN94.1, F48.8

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is F52.6 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse F52.6 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of F52.6 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • F52.9— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Unspecified sexual dysfunction not due to a substance or known physiological condition” takes F52.9; specificity in the record moves it back here.

    Full comparison: F52.6 vs F52.9 →

  • N94.1— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of dyspareunia (due to a known physiological condition) adds N94.1; it is not part of this code and both may be reported when both are documented.

    Full comparison: F52.6 vs N94.1 →

  • F48.8— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of Dhat syndrome adds F48.8; it is not part of this code and both may be reported when both are documented.

    Full comparison: F52.6 vs F48.8 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Dyspareunia not due to a substance or known physiological condition is a billable ICD-10-CM diagnosis code (F52.6).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name F52.6 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 2 Excludes1 notes: N53 — Other male sexual dysfunction (via F52.-), N94.1 — Dyspareunia.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: F45 — Somatoform disorders (via F52.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 1 MS-DRG: DRG 887 (MDC 19).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MBD013 — Miscellaneous mental and behavioral disorders/conditions (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Miscellaneous mental and behavioral disorders/conditions).

F48.8 — Other specified nonpsychotic mental disorders, F48.9 — Nonpsychotic mental disorder, unspecified, F52.0 — Hypoactive sexual desire disorder, F52.1 — Sexual aversion disorder, F52.21 — Male erectile disorder, F52.22 — Female sexual arousal disorder, F52.31 — Female orgasmic disorder, F52.32 — Male orgasmic disorder, F52.4 — Premature ejaculation, F52.5 — Vaginismus not due to a substance or known physiological condition, F52.8 — Other sexual dysfunction not due to a substance or known physiological condition, F52.9 — Unspecified sexual dysfunction not due to a substance or known physiological condition, F54 — Psychological and behavioral factors associated with disorders or diseases classified elsewhere, F55.0 — Abuse of antacids, F55.1 — Abuse of herbal or folk remedies, F55.2 — Abuse of laxatives, F55.3 — Abuse of steroids or hormones, F55.4 — Abuse of vitamins, F55.8 — Abuse of other non-psychoactive substances, F59 — Unspecified behavioral syndromes associated with physiological disturbances and physical factors, +32 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Dysfunction”, “Painful”; these codes share that main term but sit in a different category of the Tabular List.

F14.181 — Cocaine abuse with cocaine-induced sexual dysfunction (sexual, cocaine, in, abuse), F14.281 — Cocaine dependence with cocaine-induced sexual dysfunction (sexual, cocaine, in, dependence), F14.981 — Cocaine use, unspecified with cocaine-induced sexual dysfunction (sexual, cocaine), F15.181 — Other stimulant abuse with stimulant-induced sexual dysfunction (sexual, amphetamine, in, abuse), F15.281 — Other stimulant dependence with stimulant-induced sexual dysfunction (sexual, amphetamine, in, dependence), F15.981 — Other stimulant use, unspecified with stimulant-induced sexual dysfunction (sexual, amphetamine), F19.181 — Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction (sexual, psychoactive substances NEC, in, abuse), F19.281 — Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunction (sexual, psychoactive substances NEC, in, dependence), F19.981 — Other psychoactive substance use, unspecified with psychoactive substance-induced sexual dysfunction (sexual, psychoactive substances NEC), F45.8 — Other somatoform disorders (colon, psychogenic), F59 — Unspecified behavioral syndromes associated with physiological disturbances and physical factors (psychophysiologic), G31.2 — Degeneration of nervous system due to alcohol (autonomic, due to alcohol), G93.89 — Other specified disorders of brain (cerebral), H02.881 — Meibomian gland dysfunction right upper eyelid (meibomian gland, of eyelid, right, upper), H02.882 — Meibomian gland dysfunction right lower eyelid (meibomian gland, of eyelid, right, lower), H02.883 — Meibomian gland dysfunction of right eye, unspecified eyelid (meibomian gland, of eyelid, right), H02.884 — Meibomian gland dysfunction left upper eyelid (meibomian gland, of eyelid, left, upper), H02.885 — Meibomian gland dysfunction left lower eyelid (meibomian gland, of eyelid, left, lower), H02.886 — Meibomian gland dysfunction of left eye, unspecified eyelid (meibomian gland, of eyelid, left), H02.889 — Meibomian gland dysfunction of unspecified eye, unspecified eyelid (meibomian gland, of eyelid), +114 more

Contextual Map

Every relationship of F52.6 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run F52.6 with these 3 related codes in Claim Check

Hierarchy

Excludes2

  • N94.1 — Dyspareunia[Excludes2]: “dyspareunia (due to a known physiological condition) (N94.1-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Excludes1 notes

  • N53 — Other male sexual dysfunction[Excludes1](via F52.-): “psychogenic sexual dysfunction (F52.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • N94.1 — Dyspareunia[Excludes1]: “psychogenic dyspareunia (F52.6)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Excludes2 notes

  • F45 — Somatoform disorders[Excludes2](via F52.-): “sexual dysfunction, not due to a substance or known physiological condition (F52.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 19 — Mental Diseases and Disorders[MDC crossing]: “Mental Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027

Index entries (11)

  • Coitus, painful (female), psychogenic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Disorder (of), genito-pelvic pain penetration[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Disorder (of), pain, genito-pelvic penetration disorder[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Dysfunction, psychosexual, with, dyspareunia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Dysfunction, sexual (due to), female, dyspareunia, psychogenic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Dysfunction, sexual (due to), female, psychogenic, dyspareunia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Dyspareunia (female), nonorganic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Dyspareunia (female), psychogenic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • and 3 more

Nearest codes (13)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (11)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "F52.6 — Dyspareunia not due to a substance or known physiological condition." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/f52.6-dyspareunia-not-due-to-a-substance-or-known-physiological-condition

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Dyspareunia not due to a substance or known physiological condition

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to F52.6 in its code family, with their registry titles.

View all codes in the F52 family