ICD-10-CM Billable Code

N48.21

Abscess of corpus cavernosum and penis

Clinical Classification Guidelines

Medical Intelligence & Overview

An abscess of the corpus cavernosum and penis is a localized infection that results in a collection of pus within the penile tissues. This condition is relatively rare but can cause significant discomfort and complications if not treated promptly. Recognizing the signs and understanding the causes and treatment options are essential steps toward effective management.

Causes & Symptoms

Clinical Causes: Bacterial infections, often caused by pathogens such as Staphylococcus or Streptococcus species Trauma or injury to the penis that introduces bacteria or causes tissue damage Penile injections or surgical procedures that may introduce infection Underlying conditions like diabetes that increase susceptibility to infections Malfunction or failure of previous medical devices or implants in the penile area

Key Symptoms: Localized pain and swelling in the penis Presence of a lump or firm area in the penile tissue Redness and warmth over the affected area Fever and chills in some cases Difficulty in achieving or maintaining an erection Discharge from the penile tissue, which may be pus-like

Diagnostic & Treatment

Diagnosis Path: Diagnosing an abscess of the corpus cavernosum and penis involves a combination of medical history, physical examination, and diagnostic imaging. The healthcare provider may perform:

Treatment Protocols: Management of this condition typically involves:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is N48.21 a billable ICD-10 code?
Yes, N48.21 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report N48.21?
Clinical documentation must specify the nature of Abscess of corpus cavernosum and penis and any associated comorbidities for accurate reporting.

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