Infection of intervertebral disc (pyogenic), lumbosacral region
ICD-10 M46.37 is a billable code used to indicate a diagnosis of infection of intervertebral disc (pyogenic), lumbosacral region.
Infection of the intervertebral disc, specifically in the lumbosacral region, is a serious condition 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 back pain, fever, and neurological deficits due to compression of spinal structures. Diagnosis is often confirmed through imaging studies such as MRI, which can reveal disc space narrowing, edema, and abscess formation. Treatment usually involves a combination of antibiotics and surgical intervention to debride infected tissue and relieve pressure on the spinal cord or nerves. The lumbosacral region is particularly vulnerable due to its weight-bearing function and mobility, making early diagnosis and management crucial to prevent long-term complications such as chronic pain or disability.
Detailed operative reports, imaging studies, and post-operative notes.
Surgical intervention for discitis or abscess drainage.
Ensure clear documentation of the surgical approach and any complications.
Comprehensive history of infection, laboratory results, and treatment plans.
Management of pyogenic infections with antibiotic therapy.
Document the 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 indication.
Orthopedic surgeons should document the rationale for surgery.
Common symptoms include severe back pain, fever, chills, and neurological deficits such as weakness or numbness in the legs.
Diagnosis typically involves clinical evaluation, imaging studies like MRI, and microbiological cultures to identify the causative organism.
Treatment usually involves a combination of antibiotics and surgical intervention to remove infected tissue and relieve pressure on the spinal cord.
