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v1.0.0
ICD-10 Guide
ICD-10 CodesG06.1

G06.1

Billable

Intraspinal abscess and granuloma

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G06.1 is a billable code used to indicate a diagnosis of intraspinal abscess and granuloma.

Key Diagnostic Point:

Intraspinal abscess and granuloma refer to localized collections of pus or granulomatous tissue within the spinal canal, often resulting from infections or inflammatory processes. These conditions can arise from various etiologies, including bacterial, fungal, or viral infections, and may be associated with conditions such as meningitis, osteomyelitis, or discitis. Clinically, patients may present with symptoms such as back pain, neurological deficits, fever, and signs of systemic infection. Diagnosis typically involves imaging studies like MRI or CT scans, which can reveal the presence of abscesses or granulomas. Treatment often requires surgical intervention to drain the abscess and may include antibiotic or antifungal therapy depending on the underlying cause. Prompt diagnosis and management are crucial to prevent complications such as permanent neurological damage or sepsis.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between abscess and granuloma
  • Identifying the underlying cause of the abscess
  • Need for imaging studies to confirm diagnosis
  • Potential for co-existing CNS infections

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of abscess or granuloma
  • Lack of imaging reports in the medical record
  • Misclassification of abscess as a different type of infection

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with back pain and neurological deficits, suspected infections.

Billing Considerations

Ensure clarity in documenting the neurological impact and any surgical interventions.

Neurosurgery

Documentation Requirements

Operative reports, post-operative care notes, and follow-up imaging.

Common Clinical Scenarios

Surgical drainage of intraspinal abscesses, management of post-surgical complications.

Billing Considerations

Accurate coding of surgical procedures and any complications that arise.

Coding Guidelines

Inclusion Criteria

Use G06.1 When
  • According to ICD
  • 10 guidelines, G06
  • 1 should be used when there is a confirmed diagnosis of intraspinal abscess or granuloma
  • Documentation must support the diagnosis, including imaging studies and clinical findings

Exclusion Criteria

Do NOT use G06.1 When
  • Exclusion criteria include conditions that do not involve the spinal canal

Related ICD-10 Codes

Related CPT Codes

62267CPT Code

Drainage of intraspinal abscess

Clinical Scenario

Used when surgical intervention is required for abscess drainage.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Neurosurgeons must document the extent of the abscess and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of intraspinal conditions, improving the accuracy of data collection and reimbursement processes. G06.1 provides a clear distinction from other types of abscesses, facilitating better patient management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of intraspinal conditions, improving the accuracy of data collection and reimbursement processes. G06.1 provides a clear distinction from other types of abscesses, facilitating better patient management and research.

Reimbursement & Billing Impact

reimbursement processes. G06.1 provides a clear distinction from other types of abscesses, facilitating better patient management and research.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of intraspinal abscesses?

Common causes include bacterial infections, particularly in immunocompromised patients, as well as post-surgical complications and direct extension from adjacent infections.