Intracranial and intraspinal abscess and granuloma
Chapter 6:Diseases of the nervous system
ICD-10 G06 is a billable code used to indicate a diagnosis of intracranial and intraspinal abscess and granuloma.
Intracranial and intraspinal abscesses and granulomas represent localized collections of pus or inflammatory tissue within the central nervous system (CNS). These conditions can arise from various infectious agents, including bacteria, fungi, or parasites, and may occur as a result of direct infection, hematogenous spread, or post-surgical complications. Clinically, patients may present with symptoms such as headache, fever, neurological deficits, and altered mental status. Diagnosis typically involves neuroimaging techniques such as MRI or CT scans, which can reveal the presence of abscesses or granulomas. Treatment often requires a combination of antimicrobial therapy and surgical intervention, particularly if there is significant mass effect or if the abscess is not responding to medical management. The prognosis varies depending on the underlying cause, the patient's overall health, and the timeliness of intervention.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with headaches, seizures, or focal neurological deficits.
Documentation must clearly indicate the relationship between the abscess and any neurological symptoms.
Identification of the infectious agent, treatment response, and any co-morbid conditions.
Patients with known immunocompromised states presenting with CNS infections.
Accurate coding of the underlying infectious process is crucial for appropriate treatment and billing.
Used when surgical intervention is required for an intracranial abscess.
Operative report detailing the procedure and indication for surgery.
Neurosurgery documentation must include pre-operative imaging and post-operative care plans.
An abscess is a localized collection of pus due to infection, while a granuloma is a chronic inflammatory response that can occur due to various causes, including infection, foreign bodies, or autoimmune diseases.
