Osteomyelitis of vertebra, thoracic region
ICD-10 M46.24 is a billable code used to indicate a diagnosis of osteomyelitis of vertebra, thoracic region.
Osteomyelitis of the thoracic vertebrae is an infection of the bone that can arise from various sources, including hematogenous spread, direct inoculation, or contiguous spread from adjacent soft tissue infections. This condition is characterized by inflammation of the vertebral body, which can lead to significant pain, neurological deficits, and structural deformities if not treated promptly. Patients may present with localized back pain, fever, and signs of systemic infection. Diagnosis typically involves imaging studies such as MRI or CT scans, which can reveal bone edema, abscess formation, and other changes indicative of infection. Laboratory tests may show elevated inflammatory markers and cultures may identify the causative organism. Treatment often includes antibiotics and may require surgical intervention to debride infected tissue or stabilize the spine. Chronic osteomyelitis can lead to complications such as spinal instability and persistent pain, necessitating a multidisciplinary approach for management.
Detailed operative notes, imaging results, and pathology reports are essential for accurate coding.
Surgical intervention for abscess drainage or stabilization of the spine.
Documentation must clearly indicate the extent of infection and any surgical procedures performed.
Comprehensive history of present illness, laboratory results, and treatment plans.
Management of osteomyelitis with antibiotic therapy and monitoring for response.
Clear documentation of the organism identified and treatment response is critical.
Used in cases of vertebral compression fractures due to osteomyelitis.
Operative report detailing the procedure and indications.
Orthopedic surgeons must document the necessity of the procedure in the context of osteomyelitis.
Common causes include hematogenous spread from distant infections, direct trauma, or infections from adjacent soft tissues. Conditions such as diabetes and IV drug use can increase the risk.
