Osteomyelitis of vertebra, sacral and sacrococcygeal region
ICD-10 M46.28 is a billable code used to indicate a diagnosis of osteomyelitis of vertebra, sacral and sacrococcygeal region.
Osteomyelitis of the vertebra, sacral, and sacrococcygeal region is an infection of the bone that can lead to significant morbidity if not diagnosed and treated promptly. This condition often arises from hematogenous spread, direct extension from adjacent infections, or post-surgical complications. Patients may present with localized pain, fever, and neurological deficits depending on the extent of the infection and involvement of surrounding structures. Imaging studies, including MRI and CT scans, are critical for diagnosis, revealing bone edema, abscess formation, and changes in the vertebral body. Treatment typically involves a combination of antibiotics and, in some cases, surgical intervention to debride infected tissue. Chronic osteomyelitis can lead to complications such as spinal instability, deformity, and persistent pain, necessitating a multidisciplinary approach for management. The condition is particularly relevant in patients with underlying conditions such as diabetes, immunosuppression, or those undergoing invasive spinal procedures.
Detailed surgical notes, imaging studies, and post-operative follow-up documentation.
Post-operative infections following spinal surgery, trauma-related osteomyelitis.
Ensure clear documentation of the surgical procedure and any complications that arise.
Comprehensive history of infection, laboratory results, and treatment plans.
Patients with systemic infections leading to osteomyelitis, chronic infections requiring long-term management.
Document the patient's immune status and any underlying conditions that may predispose them to infection.
Used when joint aspiration is performed in conjunction with osteomyelitis treatment.
Document the indication for aspiration and any findings.
Orthopedic documentation should include details of joint involvement.
Common causes include hematogenous spread from distant infections, direct extension from adjacent infections, and post-surgical complications. Conditions like diabetes and immunosuppression can increase the risk.
