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ICD-10 Guide
ICD-10 CodesN48.31

N48.31

Billable

Priapism due to trauma

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N48.31 is a billable code used to indicate a diagnosis of priapism due to trauma.

Key Diagnostic Point:

Priapism due to trauma is a condition characterized by a prolonged and often painful erection that occurs as a result of physical injury to the genital area. This condition can arise from various types of trauma, including blunt force injuries, penetrating injuries, or surgical complications. The pathophysiology involves the obstruction of venous outflow from the penis, leading to engorgement of the erectile tissues. Trauma can disrupt normal blood flow, causing blood to pool in the corpora cavernosa, which can result in ischemia and potential tissue necrosis if not treated promptly. Clinical management may involve addressing the underlying trauma, relieving the priapism through aspiration or surgical intervention, and monitoring for complications such as erectile dysfunction or infertility. Understanding the relationship between trauma and priapism is crucial for effective diagnosis and treatment, as well as for coding purposes, particularly in distinguishing it from other causes of priapism such as hematological disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of priapism (ischemic vs. non-ischemic)
  • Understanding the underlying causes of trauma-related priapism
  • Documenting the specific nature and extent of trauma
  • Identifying associated conditions such as erectile dysfunction or infertility

Audit Risk Factors

  • Inadequate documentation of the traumatic event
  • Failure to specify the type of priapism
  • Lack of correlation between the diagnosis and treatment provided
  • Misclassification of priapism as a non-traumatic condition

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed notes on the mechanism of injury, clinical presentation, and treatment plan.

Common Clinical Scenarios

Patients presenting with priapism following sports injuries, accidents, or surgical procedures.

Billing Considerations

Urologists must ensure that the documentation clearly links the trauma to the priapism for accurate coding.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the patient's history, mechanism of injury, and immediate interventions.

Common Clinical Scenarios

Emergency presentations of priapism following trauma, requiring urgent management.

Billing Considerations

Emergency physicians should document the time of injury and initial treatment to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use N48.31 When
  • According to ICD
  • 10 guidelines, N48
  • 31 should be used when priapism is directly linked to a traumatic event
  • Coders must ensure that the documentation supports the diagnosis and that no other underlying conditions are present that could account for the priapism

Exclusion Criteria

Do NOT use N48.31 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54050CPT Code

Aspiration of corpora cavernosa

Clinical Scenario

Used in cases of ischemic priapism to relieve pressure.

Documentation Requirements

Document the indication for aspiration and the patient's response.

Specialty Considerations

Urologists should ensure that the procedure is linked to the diagnosis of priapism due to trauma.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of priapism cases, including those due to trauma. This specificity aids in better tracking of outcomes and resource allocation in urological care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of priapism cases, including those due to trauma. This specificity aids in better tracking of outcomes and resource allocation in urological care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of priapism cases, including those due to trauma. This specificity aids in better tracking of outcomes and resource allocation in urological care.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary cause of priapism in trauma cases?

The primary cause of priapism in trauma cases is the obstruction of venous outflow from the penis due to physical injury, leading to prolonged erections.