Hypoactive sexual desire disorder

This diagnosis code signifies a persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activity. The lack of desire causes marked distress or interpersonal difficulty and is not better explained by another mental disorder, substance use, or a general medical condition. It represents a primary sexual dysfunction characterized by a subjective lack of sexual interest.

Apply this code when a patient presents with a documented, significant, and distressing reduction or absence of sexual desire. Supporting documentation should include a clinical assessment confirming the primary nature of the hypoactive sexual desire, ruling out other medical or psychiatric causes, and noting the associated personal distress or relationship impact.

• Differentiate from R68.82 (decreased libido), which is an Excludes1 note; this code implies a more pervasive and distressing lack of desire.
• Ensure documentation clearly states "hypoactive sexual desire disorder" or similar terminology indicating a primary sexual dysfunction rather than a symptom of another condition.
• Consider sequencing with codes for any associated psychological distress (e.g., F43.21 for adjustment disorder with depressed mood) if clinically appropriate and documented.