Infection of intervertebral disc (pyogenic), cervicothoracic region
ICD-10 M46.33 is a billable code used to indicate a diagnosis of infection of intervertebral disc (pyogenic), cervicothoracic region.
Infection of the intervertebral disc, specifically in the cervicothoracic region, is characterized by the presence of pyogenic bacteria leading to inflammation and infection of the disc space. This condition can arise from hematogenous spread, direct extension from adjacent structures, or post-surgical complications. Patients typically present with severe neck pain, radicular symptoms, and possibly systemic signs of infection such as fever. The cervicothoracic region is particularly vulnerable due to its anatomical and functional significance, and infections here can lead to serious complications, including abscess formation and neurological deficits. Diagnosis often involves imaging studies such as MRI, which can reveal disc space narrowing, edema, and enhancement of the disc. Treatment usually requires a combination of antibiotics and, in some cases, surgical intervention to decompress the spinal cord or remove infected tissue. Early recognition and management are crucial to prevent long-term sequelae.
Detailed operative notes, imaging results, and follow-up assessments.
Post-operative infections, trauma-related disc infections.
Ensure clarity on the surgical history and any prior interventions.
Comprehensive history of infection, laboratory results, and treatment plans.
Management of pyogenic infections in immunocompromised patients.
Document the source of infection and any co-morbid conditions.
Used in cases where surgical intervention is required for disc infection.
Operative report detailing the procedure and indication.
Orthopedic surgeons must document the rationale for surgery.
The primary cause is often bacterial infection, which can occur through hematogenous spread, direct extension from adjacent structures, or post-surgical complications.
