N48.33 Priapism, drug-induced

ICD10CM code

#### Name of the Condition
- Priapism, drug-induced

#### Summary
- Priapism is a persistent and often painful erection that lasts for hours beyond or without sexual stimulation. When caused by certain medications, it is classified as drug-induced priapism.

#### Causes
- Drug-induced priapism can result from medications such as antidepressants, blood pressure medications, or treatments for erectile dysfunction.

#### Risk Factors
- Use of specific medications known to cause priapism, illicit drug use, and pre-existing conditions like sickle cell anemia can increase the risk.

#### Symptoms
- An erection lasting more than four hours, not related to sexual interest or arousal, often accompanied by discomfort or pain.

#### Diagnosis
- A physical examination, along with a detailed medical history, will often be conducted. Additional tests may include blood tests or penile blood gas measurements to determine the type of priapism.

#### Treatment Options
- Immediate treatment focuses on resolving the erection and preserving erectile function, using medications like alpha-adrenergic agonists or, in some cases, surgical intervention to drain blood from the penis.

#### Prognosis and Follow-Up
- Early treatment is critical to preventing permanent erectile dysfunction. Regular follow-ups may be necessary to monitor recovery and adjust any medication regimens.

#### Complications
- Untreated priapism can lead to permanent erectile dysfunction due to tissue damage in the penis.

#### Lifestyle & Prevention
- Patients should discuss medication side effects with their healthcare providers and avoid substances known to trigger priapism. Regular medical check-ups can help manage underlying conditions contributing to the risk of priapism.

#### When to Seek Professional Help
- Seek immediate medical attention if an erection persists longer than four hours, regardless of the presence of pain.

#### Additional Resources
- Mayo Clinic: [Priapism overview](https://www.mayoclinic.org/diseases-conditions/priapism)
- American Urological Association: [Priapism guideline](https://www.auanet.org/guidelines/priapism-guideline)

#### Tips for Medical Coders
- Ensure documentation specifies the drug-induced nature of priapism when coding to select N48.33.
- Confirm that the condition is not mislabeled as another form of priapism, such as ischemic or non-ischemic, which have different codes.

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