Other infective spondylopathies, thoracolumbar region
ICD-10 M46.55 is a billable code used to indicate a diagnosis of other infective spondylopathies, thoracolumbar region.
M46.55 refers to other infective spondylopathies affecting the thoracolumbar region of the spine. This condition encompasses a variety of infectious processes that can lead to inflammation and degeneration of the vertebrae and surrounding structures. Common causes include bacterial infections such as osteomyelitis, tuberculosis, and brucellosis, which can result in significant pain, mobility issues, and neurological deficits if not treated promptly. Patients may present with symptoms such as localized back pain, fever, and neurological signs depending on the extent of the infection and any resultant complications like abscess formation or spinal instability. Diagnosis typically involves imaging studies such as MRI or CT scans, along with laboratory tests to identify the causative organism. Treatment often requires a multidisciplinary approach, including antibiotics, pain management, and possibly surgical intervention to address structural instability or decompress neural elements. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed history of infection, lab results, and treatment plans.
Patients presenting with fever and back pain, suspected osteomyelitis.
Need for clear documentation of the infectious agent and response to treatment.
Surgical notes, imaging studies, and post-operative care documentation.
Surgical intervention for abscess drainage or spinal stabilization.
Documentation of the surgical indication and outcomes is crucial for coding.
Used when imaging is required to assess the extent of infection.
Radiology report must be included in the patient's record.
Orthopedic and Infectious Disease specialists should ensure imaging correlates with clinical findings.
Common causes include bacterial infections such as osteomyelitis, tuberculosis, and brucellosis, which can lead to inflammation and degeneration of the vertebrae.
