Infection of intervertebral disc (pyogenic)
ICD-10 M46.3 is a billable code used to indicate a diagnosis of infection of intervertebral disc (pyogenic).
Infection of the intervertebral disc, commonly referred to as discitis, is a serious condition characterized by the inflammation of the disc space due to bacterial infection. Pyogenic discitis is often caused by hematogenous spread from distant infections, such as osteomyelitis or skin infections, or can occur post-operatively. Patients typically present with severe back pain, fever, and neurological deficits depending on the extent of the infection and any associated spinal involvement. Diagnosis is confirmed through imaging studies, such as MRI, which reveal disc space narrowing, edema, and possible abscess formation. Treatment usually involves prolonged antibiotic therapy and may require surgical intervention to debride infected tissue or stabilize the spine. The condition can lead to significant morbidity if not promptly recognized and treated, making accurate coding essential for appropriate management and reimbursement.
Detailed operative notes, imaging results, and post-operative care plans.
Surgical intervention for discitis, management of spinal abscesses.
Ensure clarity in distinguishing between surgical and non-surgical cases.
Comprehensive history of present illness, laboratory results, and treatment plans.
Management of pyogenic infections, antibiotic stewardship.
Documenting the source of infection and response to treatment is critical.
Used in cases where surgical intervention is required for discitis.
Operative report detailing the procedure and indication.
Orthopedic surgeons must document the rationale for surgery.
Common causes include hematogenous spread from other infections, post-surgical infections, and direct inoculation during procedures.
