Erectile dysfunction following simple prostatectomy ICD-10-CM Diagnosis Code S37.822A [convert to ICD-9-CM] Contusion of prostate, initial encounter Contusion of prostate; Prostate contusion
As you mentioned, 55821 (Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages) or 55831 (...retropubic, subtotal) are better options.
The suprapubic approach also may be the preferred method when the obstructive prostatic enlargement includes a large intravesical median lobe. Suprapubic prostatectomy, or transvesical prostatectomy, consists of the enucleation of the hyperplastic prostatic adenoma through an extraperitoneal incision of the lower anterior bladder wall.
Open prostatectomy can be performed by either the retropubic or the suprapubic approach. In retropubic prostatectomy the enucleation of the hyperplastic prostatic adenoma is achieved through a direct incision of the anterior prostatic capsule.
ICD-10 code N52. 31 for Erectile dysfunction following radical prostatectomy is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
Encounter for surgical aftercare following surgery on the genitourinary system. Z48. 816 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z48.
Prostate Cancer (ICD-10: C61)
CPT code 52601 is written as follows: Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included).
The disadvantage of the retropubic approach, as compared with the suprapubic prostatectomy, is that direct access to the bladder is not achieved. This may be important when one considers excising a concomitant bladder diverticulum or removing bladder calculi.
The disadvantages of open prostatectomy, as compared with TURP, include the need for a lower midline incision and a resultant longer hospitalization and convalescence period. There also may be an increased potential for perioperative hemorrhage ( Serretta et al, 2002 ). Open prostatectomy can be performed by either the retropubic or ...
A well-padded, malleable blade is connected to the retractor and used to displace the bladder posteriorly and superiorly. Unlike an anatomic radical retropubic prostatectomy, the balloon of the catheter is not positioned beneath the malleable blade.
Urinalysis is performed to rule out a urinary tract infection; and, if an infection is suspected, a urine specimen should be sent for culture and sensitivity. If an infection is present, appropriate antimicrobial therapy must be instituted before surgery to prevent urinary sepsis (Serretta et al, 2002).
Patients who are concerned about infectious processes associated with blood transfusion can donate one to two units of autologous blood before surgery so that it is available at the time of the procedure. The preferred autologous donation schedule is one unit per week, with the last donation 2 weeks before surgery.
All men should undergo a digital rectal examination and have a serum prostate-specific antigen determination. If the digital rectal examination detects induration or nodularity, or the serum prostate-specific antigen level is elevated, a transrectal ultrasound-guided biopsy of the prostate gland should be performed.
If the prostatectomy is performed without the diverticulectomy, incomplete emptying of the bladder diverticulum and subsequent, persistent infection may occur. Large bladder calculi that are not amenable to easy transurethral fragmentation may also be removed during the open procedure.