N53.13 ICD-10-CM Code: Anejaculatory orgasm

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for N53.13 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on N53.13 itself; “inherited from” names the category or block whose note applies here.

Coder workflow for N53.13

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

Before you code N53.13

1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with N53.13. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

   See the official tabular notes

Choose the right path

1. Does the documentation support a condition named in N53.13’s Excludes1 note?
   Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
   No → Continue.

   ReviewF52.4, F52

Consider N53.13. Then confirm the code is valid for the date of service in the Verify section.

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).

Official instructions as workflow

• Excludes1 — check before selecting N53.13(2 notes)

  Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with N53.13: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

  CompareF52.4, F52

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

Coding decision scenarios

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

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.

Indexed Clinical Terms (3)

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.

• Dysfunction, ejaculatory, anejaculatory orgasm
• Dysfunction, sexual (due to), male, anejaculatory orgasm
• Orgasm, anejaculatory

Don’t confuse N53.13 with…

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

The codes most likely to be picked instead of N53.13 — 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.

• F52.4— Excludes1 conflict (Excludes1 — generally not reported together)

  Not coded here — the tabular list excludes this pair for the same encounter.

  Not reported together with this code, except where the two conditions are documented as unrelated.

  What moves you there: Documentation of premature ejaculation moves the case to F52.4; the two are not reported together unless documented as unrelated.

  Full comparison: N53.13 vs F52.4 →

• F52— Excludes1 conflict (Excludes1 — generally not reported together)

  Not coded here — the tabular list excludes this pair for the same encounter.

  Not reported together with this code, except where the two conditions are documented as unrelated.

  What moves you there: Documentation of premature ejaculation moves the case to F52; the two are not reported together unless documented as unrelated.

  Full comparison: N53.13 vs F52 →

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.

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 structured relationships — computed from published CMS and AHRQ datasets

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 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 2 MS-DRGs: DRG 729 (MDC 12), DRG 730 (MDC 12).

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

Clinical classification (AHRQ CCSR):GEN016 — Other specified male genital disorders (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 (Other specified male genital disorders).

N48.83 — Acquired buried penis, N48.89 — Other specified disorders of penis, N48.9 — Disorder of penis, unspecified, N50.0 — Atrophy of testis, N50.1 — Vascular disorders of male genital organs, N50.3 — Cyst of epididymis, N50.8 — Other specified disorders of male genital organs, N50.811 — Right testicular pain, N50.812 — Left testicular pain, N50.819 — Testicular pain, unspecified, N50.82 — Scrotal pain, N50.89 — Other specified disorders of the male genital organs, N50.9 — Disorder of male genital organs, unspecified, N51 — Disorders of male genital organs in diseases classified elsewhere, N53.11 — Retarded ejaculation, N53.12 — Painful ejaculation, N53.14 — Retrograde ejaculation, N53.19 — Other ejaculatory dysfunction, N53.8 — Other male sexual dysfunction, N53.9 — Unspecified male sexual dysfunction, +45 more

Same Index main term, other category

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

N52.31 — Erectile dysfunction following radical prostatectomy (sexual, male, erectile, postoperative, following, prostatectomy, radical), N52.32 — Erectile dysfunction following radical cystectomy (sexual, male, erectile, postoperative, following, radical cystectomy), N52.33 — Erectile dysfunction following urethral surgery (sexual, male, erectile, postoperative, following, urethral surgery), N52.34 — Erectile dysfunction following simple prostatectomy (sexual, male, erectile, postoperative, following, prostatectomy), N52.35 — Erectile dysfunction following radiation therapy (sexual, male, erectile, postoperative, following, radiation therapy), N52.36 — Erectile dysfunction following interstitial seed therapy (sexual, male, erectile, postoperative, following, interstitial seed therapy), N52.37 — Erectile dysfunction following prostate ablative therapy (sexual, male, erectile, postoperative, following, cryotherapy), N52.39 — Other and unspecified postprocedural erectile dysfunction (sexual, male, erectile, postoperative), N52.8 — Other male erectile dysfunction (sexual, male, erectile, specified cause NEC), N52.9 — Male erectile dysfunction, unspecified (sexual, male, erectile), N85.8 — Other specified noninflammatory disorders of uterus (endometrium), N93.8 — Other specified abnormal uterine and vaginal bleeding (bleeding, uterus), N94.10 — Unspecified dyspareunia (sexual, female, dyspareunia), N94.2 — Vaginismus (sexual, female, vaginismus), N94.9 — Unspecified condition associated with female genital organs and menstrual cycle (sexual, female), O62.0 — Primary inadequate contractions (uterus, complicating delivery, hypotonic, primary), O62.1 — Secondary uterine inertia (uterus, complicating delivery, hypotonic, secondary), O62.2 — Other uterine inertia (uterus, complicating delivery, hypotonic), O62.4 — Hypertonic, incoordinate, and prolonged uterine contractions (uterus, complicating delivery, hypertonic), O62.9 — Abnormality of forces of labor, unspecified (uterus, complicating delivery), +110 more

Contextual Map

Every relationship of N53.13 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.

Hierarchy

• N00-N99 — Chapter 14: Diseases of the Genitourinary System (N00-N99) (N00-N99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• N40-N53 — Diseases of male genital organs[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Clinical classification (CCSR)

• GEN016 — Other specified male genital disorders[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)

MS-DRG Grouper

• DRG 729 — OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC[MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC (MDC 12)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 730 — OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC[MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 12)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026

MDC crossing

• MDC 12 — Diseases and Disorders of the Male Reproductive System[MDC crossing]: “Diseases and Disorders of the Male Reproductive System — 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. 1,964 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

• Dysfunction, ejaculatory, anejaculatory orgasm[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Dysfunction, sexual (due to), male, anejaculatory orgasm[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Orgasm, anejaculatory[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes

• N53 — Other male sexual dysfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• N53.1 — Ejaculatory dysfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• N53.11 — Retarded ejaculation[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• N53.12 — Painful ejaculation[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• N53.14 — Retrograde ejaculation[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• N53.19 — Other ejaculatory dysfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• N53.8 — Other male sexual dysfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• N53.9 — Unspecified male sexual dysfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Change history

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

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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 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 — v43 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 structured 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 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.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official ICD-10-CM classifications closest to N53.13 in its code family, with their registry titles.

• N53 — Other male sexual dysfunction
• N53.1 — Ejaculatory dysfunction
• N53.11 — Retarded ejaculation
• N53.12 — Painful ejaculation
• N53.14 — Retrograde ejaculation
• N53.19 — Other ejaculatory dysfunction
• N53.8 — Other male sexual dysfunction
• N53.9 — Unspecified male sexual dysfunction

View all codes in the N53 family