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2025 ICD-10-CM code N48.21

Abscess of the corpus cavernosum and penis.

Use additional code (B95-B97) to identify the infectious agent if known.Excludes1 notes should be carefully reviewed to ensure accurate code selection.

Medical necessity is established by the presence of an abscess in the corpus cavernosum and penis, documented by physical examination and/or imaging.Symptoms such as pain, swelling, and tenderness must be present. Treatment is indicated to resolve the infection and prevent complications.

Urologist or other physician specializing in male genitourinary health.Diagnosis may involve physical examination, ultrasound, or other imaging techniques. Treatment may involve incision and drainage, antibiotics, or other appropriate medical interventions.

IMPORTANT:Related codes include N48.22 (Cellulitis of corpus cavernosum and penis) and other codes within the N48 category for other inflammatory disorders of the penis.Additional codes from B95-B97 may be necessary to identify the specific infectious agent.

In simple words: This code is for a pus-filled pocket (abscess) in the spongy tissue inside the penis that helps it become erect.Doctors might use an additional code to specify what germ caused the infection.

This code signifies an abscess (a localized collection of pus) within the corpus cavernosum (the erectile tissue of the penis).It is classified under inflammatory disorders of the penis. An additional code from category B95-B97 should be used to specify the infectious agent involved, if known.

Example 1: A 45-year-old male presents with pain, swelling, and tenderness in the penis. Physical examination reveals a fluctuant mass, suggestive of an abscess.Ultrasound confirms the presence of an abscess in the corpus cavernosum.The patient is treated with incision and drainage, and antibiotics are prescribed., A 30-year-old male with a history of penile trauma develops a painful, swollen area on the shaft of his penis. An abscess is identified in the corpus cavernosum.The patient undergoes surgical drainage and receives intravenous antibiotics. Cultures are taken to identify the causative organism., A 60-year-old diabetic male presents with a chronic, recurrent abscess in the corpus cavernosum.He has had multiple episodes of similar infections in the past.Management includes surgical drainage, antibiotics, and education on proper hygiene and diabetes management to reduce the risk of recurrence.

Detailed history including onset, duration, and character of symptoms; physical examination findings; imaging results (e.g., ultrasound); laboratory results (e.g., culture and sensitivity); operative report if surgical intervention was performed; and antibiotic regimen if prescribed.

** This code should be used only for abscesses specifically localized within the corpus cavernosum of the penis.Other penile abscesses should be coded appropriately based on their location.Accurate identification of the infectious agent is crucial for appropriate treatment and should be documented.

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