Osteomyelitis of vertebra, lumbar region
ICD-10 M46.26 is a billable code used to indicate a diagnosis of osteomyelitis of vertebra, lumbar region.
Osteomyelitis of the lumbar vertebrae is an infection of the bone that can arise from various sources, including hematogenous spread, direct extension from adjacent soft tissue infections, or post-surgical complications. This condition is characterized by inflammation and destruction of the vertebral body, which can lead to significant morbidity. Patients may present with localized pain, fever, and neurological deficits depending on the extent of the infection and any associated spinal cord involvement. Risk factors include diabetes mellitus, immunosuppression, and prior spinal surgery. Diagnosis typically involves imaging studies such as MRI or CT scans, which can reveal bone edema and abscess formation. Laboratory tests may show elevated inflammatory markers. Treatment often requires a combination of prolonged antibiotic therapy and, in some cases, surgical intervention to debride infected tissue or stabilize the spine. Early diagnosis and management are crucial to prevent complications such as abscess formation or chronic pain syndromes.
Detailed surgical notes, imaging results, and post-operative care plans.
Post-operative infections following spinal surgery, trauma-related infections.
Documentation must clearly outline the surgical intervention and any complications.
Comprehensive history of infection, laboratory results, and treatment response.
Patients with systemic infections leading to osteomyelitis.
Focus on the underlying causes of infection and antibiotic stewardship.
Used when joint aspiration is performed due to suspected infection.
Document the indication for the procedure and findings.
Orthopedic documentation must include details of joint involvement.
Common causes include hematogenous spread from distant infections, direct extension from adjacent soft tissue infections, and post-surgical complications. Risk factors such as diabetes, immunosuppression, and prior spinal surgery also play a significant role.
