Infection of intervertebral disc (pyogenic), cervical region
ICD-10 M46.32 is a billable code used to indicate a diagnosis of infection of intervertebral disc (pyogenic), cervical region.
Infection of the intervertebral disc, specifically in the cervical region, is a serious condition characterized by the presence of pyogenic bacteria within the disc space. This condition can lead to severe pain, neurological deficits, and potential complications such as abscess formation or sepsis. The infection often arises from hematogenous spread, direct extension from adjacent structures, or post-surgical complications. Patients typically present with neck pain, fever, and possibly neurological symptoms depending on the extent of the infection and any associated spinal cord involvement. Diagnosis is confirmed through imaging studies such as MRI, which can reveal disc space narrowing, edema, and enhancement of the disc and surrounding tissues. Treatment usually involves a combination of antibiotics and, in some cases, surgical intervention to drain abscesses or debride infected tissue. Early recognition and management are crucial to prevent long-term complications.
Detailed surgical notes, imaging results, and post-operative follow-up documentation.
Post-operative infections following cervical spine surgery, acute presentations of cervical discitis.
Ensure clear documentation of the surgical history and any complications that may affect coding.
Comprehensive patient history, laboratory results, and treatment plans.
Patients presenting with fever and neck pain, suspected discitis due to systemic infection.
Document the source of infection and any underlying conditions that may predispose the patient to disc infections.
Used in cases where surgical intervention is required to address infection-related complications.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons should ensure that the surgical necessity is clearly documented.
Common symptoms include severe neck pain, fever, and neurological deficits such as weakness or numbness in the arms.
Diagnosis typically involves clinical evaluation, imaging studies like MRI, and microbiological testing to identify the causative organism.
