Infection of intervertebral disc (pyogenic), site unspecified
ICD-10 M46.30 is a billable code used to indicate a diagnosis of infection of intervertebral disc (pyogenic), site unspecified.
Infection of the intervertebral disc, specifically pyogenic in nature, refers to a bacterial infection that affects the disc space between vertebrae. This condition can lead to severe back pain, fever, and neurological deficits due to inflammation and potential compression of surrounding structures. Pyogenic discitis is often associated with hematogenous spread from distant infections or direct extension from adjacent osteomyelitis. The clinical presentation may include localized tenderness, limited range of motion, and systemic signs of infection. Diagnosis typically involves imaging studies such as MRI or CT scans, which can reveal disc space narrowing, endplate erosion, and paravertebral soft tissue abscesses. Treatment usually involves a combination of antibiotics and, in some cases, surgical intervention to drain abscesses or debride infected tissue. The unspecified site indicates that the exact location of the infection is not documented, which can complicate treatment and management.
Detailed operative notes, imaging results, and pre-operative assessments.
Surgical intervention for abscess drainage or debridement of infected disc tissue.
Ensure clear documentation of the surgical site and findings to support coding.
Comprehensive history of infection, laboratory results, and treatment plans.
Management of pyogenic infections with antibiotic therapy and monitoring for complications.
Documenting the source of infection and response to treatment is crucial for accurate coding.
Used when surgical intervention is required for disc infection management.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must document the rationale for surgical intervention clearly.
The primary cause is usually bacterial infection, often stemming from hematogenous spread from other infections or direct extension from adjacent osteomyelitis.
Diagnosis is typically made through clinical evaluation, imaging studies such as MRI or CT scans, and microbiological cultures.
Treatment generally involves antibiotics and may require surgical intervention to drain abscesses or debride infected tissue.
