Infection of intervertebral disc (pyogenic), lumbar region
ICD-10 M46.36 is a billable code used to indicate a diagnosis of infection of intervertebral disc (pyogenic), lumbar region.
Infection of the intervertebral disc, specifically pyogenic in nature, is a serious condition that typically arises from bacterial infection, leading to inflammation and potential destruction of the disc tissue. This condition is often associated with spondylopathies, where the infection can spread from adjacent vertebrae or through hematogenous routes. Patients may present with severe back pain, fever, and neurological deficits due to compression of spinal structures. The lumbar region is particularly vulnerable due to its weight-bearing function and mobility. Diagnosis is often confirmed through imaging studies such as MRI, which can reveal disc space narrowing, edema, and abscess formation. Treatment usually involves antibiotics and may require surgical intervention to decompress the spinal cord or remove infected tissue. The condition can lead to significant morbidity if not promptly addressed, making accurate coding essential for appropriate management and reimbursement.
Detailed surgical notes, imaging results, and pre-operative assessments.
Surgical intervention for abscess drainage or decompression.
Ensure clear documentation of the surgical approach and any complications.
Comprehensive history of infection, lab results, and treatment response.
Management of antibiotic therapy and monitoring for complications.
Document rationale for antibiotic choice and duration of therapy.
Used when surgical intervention is required for decompression due to infection.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the rationale for surgery.
The primary cause is usually bacterial infection, which can occur through hematogenous spread or direct extension from adjacent structures.
