Other infective spondylopathies, sacral and sacrococcygeal region
ICD-10 M46.58 is a billable code used to indicate a diagnosis of other infective spondylopathies, sacral and sacrococcygeal region.
Infective spondylopathies refer to infections affecting the vertebrae and surrounding structures, leading to inflammation and potential structural damage. The sacral and sacrococcygeal regions are particularly vulnerable due to their anatomical location and the presence of various infectious agents. Conditions such as osteomyelitis, discitis, and abscess formation can occur in these areas, often resulting from hematogenous spread or direct infection. Symptoms may include localized pain, fever, neurological deficits, and reduced mobility. Diagnosis typically involves imaging studies such as MRI or CT scans, along with laboratory tests to identify the causative organism. Treatment often requires a combination of antibiotics and surgical intervention, depending on the severity and extent of the infection. Understanding the nuances of this code is essential for accurate documentation and reimbursement.
Detailed imaging reports, surgical notes, and pathology results.
Patients presenting with back pain and fever, suspected osteomyelitis.
Ensure clear documentation of the infection's origin and treatment plan.
Microbiological data, treatment response, and follow-up notes.
Patients with systemic infections leading to spondylopathy.
Document the rationale for antibiotic choice and duration of therapy.
Used to evaluate suspected infective spondylopathy.
Include indications for the scan and findings.
Orthopedic specialists should correlate imaging findings with clinical symptoms.
Common causes include bacterial infections, such as Staphylococcus aureus, and less frequently, fungal or viral infections. Risk factors include immunocompromised states, diabetes, and intravenous drug use.
