Infection of intervertebral disc (pyogenic), thoracic region
ICD-10 M46.34 is a billable code used to indicate a diagnosis of infection of intervertebral disc (pyogenic), thoracic region.
M46.34 refers to a pyogenic infection of the intervertebral disc located in the thoracic region of the spine. This condition is characterized by the presence of bacteria that invade the disc space, leading to inflammation, pain, and potential neurological deficits. Pyogenic discitis can occur due to hematogenous spread from distant infections, direct extension from adjacent osteomyelitis, or post-surgical complications. Clinically, patients may present with localized thoracic pain, fever, and neurological symptoms such as weakness or sensory changes, depending on the extent of the infection and any associated spinal cord involvement. Diagnosis typically involves imaging studies such as MRI, which can reveal disc space narrowing, edema, and abscess formation. Treatment often requires a combination of antibiotics and surgical intervention to debride infected tissue and stabilize the spine. Early recognition and management are crucial to prevent long-term complications, including chronic pain and disability.
Detailed operative notes, imaging results, and post-operative follow-up documentation are essential.
Surgical intervention for discitis, management of spinal abscesses, and treatment of associated vertebral osteomyelitis.
Ensure clear documentation of the surgical approach and any complications encountered during the procedure.
Comprehensive history of present illness, laboratory results, and antibiotic treatment plans must be documented.
Management of pyogenic infections, evaluation of systemic symptoms, and coordination with surgical teams.
Document the rationale for antibiotic selection and any changes in treatment based on culture results.
Used in cases where surgical intervention is required for decompression due to infection.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must document the extent of the infection and any complications.
The primary cause is usually bacterial infection, which can occur through hematogenous spread from other infections, direct extension from adjacent osteomyelitis, or post-surgical complications.
