Fournier gangrene
ICD-10 N49.3 is a billable code used to indicate a diagnosis of fournier gangrene.
Fournier gangrene is a severe, rapidly progressing necrotizing fasciitis that primarily affects the perineal, genital, and perianal regions. It is characterized by the presence of polymicrobial infections, often involving both aerobic and anaerobic bacteria. The condition typically presents with severe pain, swelling, erythema, and systemic signs of infection such as fever and tachycardia. Risk factors include diabetes mellitus, immunosuppression, obesity, and previous surgical procedures in the genital area. Early diagnosis and aggressive surgical intervention, including debridement of necrotic tissue, are critical for improving outcomes. Antibiotic therapy is also essential, targeting the polymicrobial nature of the infection. Complications can include sepsis, organ failure, and significant morbidity, including loss of genital structures. The management of Fournier gangrene requires a multidisciplinary approach, often involving urologists, surgeons, and infectious disease specialists.
Detailed surgical notes, including extent of debridement and any reconstructive procedures.
Management of Fournier gangrene in diabetic patients or post-surgical infections.
Need for clear documentation of the patient's baseline health status and any pre-existing conditions.
Comprehensive records of antibiotic therapy and response to treatment.
Consultation for severe infections in immunocompromised patients.
Documentation of the microbiological findings and rationale for antibiotic choices.
Used in cases where Fournier gangrene leads to intra-abdominal complications.
Document the indication for surgery and findings during the procedure.
Urologists should ensure clear communication with surgical teams regarding the extent of the disease.
Common risk factors include diabetes mellitus, immunosuppression, obesity, and prior surgical procedures in the genital area.
