448 Sexual Dysfunctions
nificant role in the development of the sexual dysfunction, each should be listed separately
(e.g., 292.89 cocaine-induced sexual dysfunctio n with onset during intoxication, moderate;
292.89 fluoxetine-induced sexu al dysfunction, with onset after medication use). 
ICD-10-CM. The name of the substance/medication-induced sexual dysfunction begins
with the specific substance (e.g., alcohol, fluoxetine) that is presumed to be causing the
sexual dysfunction. The diagnost ic code is selected from the table included in the criteria
set, which is based on the drug class and presence or absence of a comorbid substance use
disorder. For substances that do not fit into any of the classes (e.g., fluoxetine), the code for
“other substance” should be used; and in cases in which a substance is judged to be an eti-
ological factor but the specific class of subs tance is unknown, the category “unknown sub-
stance” should be used.
When recording the name of the disorder, th e comorbid substance use disorder (if any)
is listed first, followed by the word “with,” followed by the name of the substance-induced
sexual dysfunction, followed by the specification of onset (i.e., onset during intoxication,
onset during withdrawal, with onset after medi cation use), followed by the severity spec-
ifier (e.g., mild, moderate, severe). For example,  in the case of erectile dysfunction occur-
ring during intoxication in a man with a severe alcohol use disorder, the diagnosis is
F10.281 moderate alcohol use disorder with alcohol-induced se xual dysfunction, with on-
set during intoxication, moderate. A separate diagnosis of the comorbid severe alcohol use
disorder is not given. If the substance-induced sexual dysfunction occurs without a co-