ICD-10 code N48. 3 for Priapism is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
Overview. Priapism is a prolonged erection of the penis. The full or partial erection continues hours beyond or isn't caused by sexual stimulation. The main types of priapism are ischemic and nonischemic. Ischemic priapism is a medical emergency.
ICD-10-CM Code for Sickle-cell disorders D57.
Priapism is a persistent, usually painful, erection that lasts for more than four hours and occurs without sexual stimulation. The condition develops when blood in the penis becomes trapped and is unable to drain. If the condition is not treated immediately, it can lead to scarring and permanent erectile dysfunction.
Priapism (penile erection in the absence of sexual activity or desire) is a common complication and cause of morbidity in males with sickle cell disease (SCD) including children, adolescents, and adults.
Key steps in the management of sickle cell disease–associated priapism include oxygenation, analgesics (eg, intravenous morphine), hydration, alkalization, and exchange transfusions to increase the hematocrit value to greater than 30% and to decrease the hemoglobin S (HbS) value to less than 30%.
Periodic episodes of extreme pain, called pain crises, are a major symptom of sickle cell anemia. Pain develops when sickle-shaped red blood cells block blood flow through tiny blood vessels to your chest, abdomen and joints. The pain varies in intensity and can last for a few hours to a few days.
The ICD-10-CM coding convention requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "Use Additional Code" note at the etiology code, and a "Code First" note at the manifestation code.
Sickle beta thalassemia is an inherited condition that affects hemoglobin, the protein in red blood cells that carries oxygen to different parts of the body. It is a type of sickle cell disease.
High-flow priapism is a persistent erection caused by unregulated cavernous arterial inflow. It was first described by Burt et al in 1960 when a man developed a persistent erection following traumatic coitus.
Pathophysiologically, priapism can be of either a low-flow (ischemic) or a high-flow (nonischemic) type. Low-flow priapism, which is by far the most common type, results from failure of venous outflow, whereas high-flow priapism results from uncontrolled arterial inflow.
Table 1: Medicines associated with priapismMedicine classExamplesAntipsychotics & Antidepressantsrisperidone, olanzapine, clozapine, chlorpromazine, quetiapine, sertraline, citalopram, escitalopram, lithium, fluoxetine, trifluoperazine, pericyazineVasoactive erectile agentsalprostadil, papaverine8 more rows•Sep 5, 2014
“Naturally, without being on any medications, the average erection for an average person would be roughly 10 minutes,” says Simhan.
Table 1: Medicines associated with priapismMedicine classExamplesAntipsychotics & Antidepressantsrisperidone, olanzapine, clozapine, chlorpromazine, quetiapine, sertraline, citalopram, escitalopram, lithium, fluoxetine, trifluoperazine, pericyazineVasoactive erectile agentsalprostadil, papaverine8 more rows•Sep 5, 2014
The re-occurring, painful erections usually last between 2 and 3 hours before returning to a flaccid (soft or limp) state. If you have this type of priapism, it may occur during sleep, or before or after sexual stimulation. Over time, the episodes of priapism may become more frequent and last longer.