Drug-induced erectile dysfunction

This code signifies erectile dysfunction (ED) that is directly attributable to the use of a prescribed or illicit drug. It indicates a male patient's inability to achieve or maintain an erection sufficient for satisfactory sexual performance, where the etiology is pharmacologically induced rather than psychogenic, organic, or other causes.

Apply this code when documentation clearly links the onset or exacerbation of ED to a specific medication or substance. This typically occurs in patients taking antihypertensives, antidepressants, antipsychotics, or recreational drugs. Supporting documentation should include a detailed medication history and a physician's assessment confirming the drug as the causative agent.

• Always identify the specific drug causing the ED using an external cause code (T36-T50 with a 5th or 6th character indicating adverse effect) in addition to this code.
• Distinguish from ED due to other underlying medical conditions (e.g., diabetes, cardiovascular disease) or psychogenic factors.
• Ensure the physician's documentation explicitly states "drug-induced" or provides a clear causal link between the medication and the ED.