Sexual aversion disorder

This code represents a persistent or recurrent extreme aversion to, and avoidance of, all or almost all genital sexual contact with a sexual partner. The aversion causes significant personal distress or interpersonal difficulty and is not better accounted for by another mental disorder or the effects of a substance.

Apply this code when documentation clearly indicates a diagnosis of sexual aversion disorder based on diagnostic criteria, such as those outlined in the DSM-5. This typically involves a patient presenting with marked distress regarding sexual activity and active avoidance behaviors.

• Ensure documentation specifies "aversion" rather than simply "lack of interest" or "low desire," which would point to other F52 codes.
• Distinguish from F52.0 (Hypoactive sexual desire disorder), where the primary issue is a lack of sexual fantasies and desire, not active aversion and avoidance.
• Code only when the aversion is the primary presenting sexual dysfunction and not secondary to another medical condition or substance use.