Comb artrl insuff & corporo-venous occlusv erectile dysfnct

This diagnosis code describes erectile dysfunction (ED) resulting from a dual pathology: insufficient arterial blood flow to the penis combined with impaired venous outflow (corporo-venous occlusive disease). It indicates a complex vascular etiology for the patient's inability to achieve or maintain an erection.

Use this code when documentation explicitly states both arterial insufficiency and corporo-venous occlusive disease as contributing factors to the patient's erectile dysfunction. This typically follows diagnostic workups such as penile Doppler ultrasound, dynamic infusion cavernosometry, or arteriography confirming both vascular components.

• Ensure documentation clearly specifies both arterial insufficiency and corporo-venous occlusive disease; do not assume both are present if only one is mentioned.
• Distinguish from codes for ED due to a single vascular cause (e.g., N52.01 for arterial insufficiency only, N52.02 for corporo-venous occlusive disease only).
• Consider sequencing this code as the primary diagnosis if it is the reason for the encounter, or as a secondary diagnosis if the encounter is for a related condition.