Erectile Dysfunction K010

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/e-g/erectile-dysfunction-k010-3027260784

Last amended

Factors in CCPS as at 5 October 2005 (K010)

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/erectile-dysfunction-k010/factors-ccps-5-october-2005-k010

Last amended

A blunt or penetrating trauma

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/blunt-or-penetrating-trauma

Last amended

A clinically significant psychiatric condition

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/clinically-significant-psychiatric-condition

Last amended

A specified condition for erectile dysfunction

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/specified-condition-erectile-dysfunction

Last amended

A specified endocrinological disorder

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/specified-endocrinological-disorder

Last amended

A specified neurological disorder

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/specified-neurological-disorder

Last amended

Alcohol dependence or alcohol abuse

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/alcohol-dependence-or-alcohol-abuse

Last amended

Being obese

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/being-obese

Last amended

Cerebrovascular accident

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/cerebrovascular-accident

Last amended

Cigar smoking

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/cigar-smoking

Last amended

Cigarette smoking

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/cigarette-smoking

Last amended

Diabetes mellitus

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/diabetes-mellitus

Last amended

Exposure to a specified organic solvent

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/exposure-specified-organic-solvent

Last amended

Haemochromatosis

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/haemochromatosis

Last amended

Hypertension

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/hypertension

Last amended

Inability to obtain appropriate clinical management for erectile dysfunction

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/inability-obtain-appropriate-clinical-management-erectile-dysfunction

Last amended

Inability to undertake any physical activity greater than 3 METs

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/inability-undertake-any-physical-activity-greater-3-mets

Last amended

Ischaemic heart disease

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/ischaemic-heart-disease

Last amended

Low-flow priapism

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/erectile-dysfunction-k010/factors-ccps-5-october-2005-k010/low-flow-priapism

Last amended

Peyronie's disease

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/erectile-dysfunction-k010/factors-ccps-5-october-2005-k010/peyronies-disease

Last amended

Pipe smoking

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/e-g/erectile-dysfunction-k010-3027260784/rulebase-erectile-dysfunction/pipe-smoking

Last amended

Smoking tobacco products - material contribution

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/erectile-dysfunction-k010/factors-ccps-5-october-2005-k010/smoking-tobacco-products-material-contribution

Last amended

Therapeutic radiation to the lower abdomen or pelvis or penis or perineal region

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/erectile-dysfunction-k010/factors-ccps-5-october-2005-k010/therapeutic-radiation-lower-abdomen-or-pelvis-or-penis-or-perineal-region

Last amended

Traumatic injury involving the brain or spinal cord or cauda equina

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/erectile-dysfunction-k010/factors-ccps-5-october-2005-k010/traumatic-injury-involving-brain-or-spinal-cord-or-cauda-equina

Last amended

Treatment with a drug from the specified lists

Current RMA Instruments
Reasonable Hypothesis SOP72 of 2022
Balance of Probabilities SOP
73 of 2022
Changes from previous Instruments

 ICD Coding
  • ICD-10-AM Codes: F52.2, N48.4
Brief description

This is a functional disorder of the male penis with impaired erectile function inadequate for normal sexual intercourse. This SOP applies only to males and does not apply if the condition is temporary or transient in nature. The SOP covers both physical/organic and psychological erectile dysfunction.

Confirming the diagnosis

This is a subjective disorder. Diagnosis is based on reported symptoms.  Investigation for an organic cause may be undertaken, such as Duplex Doppler ultrasound study of the penis with injection of a vasoactive agent; nocturnal penile tumescence monitoring study; and serum male hormone tests (FSH, LH, Testosterone).

Use of erectile dysfunction drugs (Viagra [Sildenafil] or Cialis [Tadalafil]) of itself does not confirm erectile dysfunction.

The relevant medical specialist is a urologist.

Additional diagnoses that are covered by this SOP
  • Impotence
Conditions that are not covered by this SOP
  • Decreased libido - this is a symptom not a disease or injury of itself.
  • Excessive sexual drive#
  • Premature ejaculation# 
  • Delayed ejaculation or inhibited male orgasm/male orgasmic disorder# 
  • Priapism (painful erection)# 
  • Peyronie’s disease#
  • Testicular Hypogonadism/hypofunction* (hypogonadism SOP)
  • Male infertility#

* another SOP applies

# non-SOP condition

Clinical onset

This will be based on self-report of when inadequate erectile function first became persistent or recurrent.

Clincal worsening

Given the threshold nature of the diagnosis, permanent clinical worsening will be difficult to establish.  It may be manifest by previously effective treatment becoming ineffective.

 

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/alphabetic-index-statements-principles/e-g/erectile-dysfunction-k010/factors-ccps-5-october-2005-k010/treatment-drug-specified-lists

Last amended