Discitis, unspecified, cervical region
ICD-10 M46.42 is a billable code used to indicate a diagnosis of discitis, unspecified, cervical region.
Discitis is an inflammatory condition affecting the intervertebral discs, often resulting from infection, trauma, or degenerative changes. In the cervical region, discitis can lead to significant pain, reduced mobility, and neurological deficits due to compression of adjacent structures. The condition may arise from hematogenous spread of infection, direct inoculation during procedures, or as a complication of adjacent spondylopathies such as ankylosing spondylitis. Symptoms typically include localized neck pain, stiffness, and in severe cases, radicular pain or myelopathy. Diagnosis is often confirmed through imaging studies such as MRI, which can reveal disc space narrowing, edema, and potential abscess formation. Treatment may involve antibiotics, anti-inflammatory medications, and in some cases, surgical intervention to decompress neural structures or stabilize the spine. Accurate coding is essential for proper management and reimbursement, as discitis can be a complex condition with overlapping symptoms with other spinal disorders.
Detailed surgical notes, imaging results, and pre/post-operative assessments.
Surgical intervention for discitis, management of complications, and follow-up care.
Ensure documentation reflects the severity of the condition and rationale for surgical intervention.
Comprehensive history of infection, laboratory results, and treatment response.
Management of discitis due to bacterial or fungal infections.
Document the source of infection and any comorbid conditions that may affect treatment.
Used when surgical intervention is required for discitis.
Surgical notes, imaging results, and pre-operative assessments.
Orthopedic surgeons should document the rationale for surgery.
Common causes include bacterial infections, fungal infections, and complications from adjacent spinal conditions such as ankylosing spondylitis.
