Intraspinal abscess and granuloma
ICD-10 G06.1 is a billable code used to indicate a diagnosis of intraspinal abscess and granuloma.
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.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with back pain and neurological deficits, suspected infections.
Ensure clarity in documenting the neurological impact and any surgical interventions.
Operative reports, post-operative care notes, and follow-up imaging.
Surgical drainage of intraspinal abscesses, management of post-surgical complications.
Accurate coding of surgical procedures and any complications that arise.
Used when surgical intervention is required for abscess drainage.
Operative report detailing the procedure and findings.
Neurosurgeons must document the extent of the abscess and any complications.
Common causes include bacterial infections, particularly in immunocompromised patients, as well as post-surgical complications and direct extension from adjacent infections.