Other infective spondylopathies, occipito-atlanto-axial region
ICD-10 M46.51 is a billable code used to indicate a diagnosis of other infective spondylopathies, occipito-atlanto-axial region.
M46.51 refers to a specific category of spondylopathies characterized by infectious processes affecting the occipito-atlanto-axial region of the spine. This condition can arise from various infectious agents, including bacteria, fungi, or viruses, leading to inflammation and potential structural damage to the vertebrae and surrounding tissues. Symptoms may include severe neck pain, stiffness, and neurological deficits due to compression of spinal structures. Diagnosis typically involves imaging studies such as MRI or CT scans, along with laboratory tests to identify the causative organism. Treatment often requires a multidisciplinary approach, including antibiotics or antifungal medications, physical therapy, and in some cases, surgical intervention to relieve pressure on the spinal cord or nerves. The complexity of this condition lies in its potential overlap with other inflammatory spine diseases, such as ankylosing spondylitis, and the need for precise identification of the infectious agent to guide appropriate treatment.
Detailed history of infection, lab results, and treatment plans.
Patients presenting with fever, neck pain, and neurological symptoms.
Need for clear documentation of the infectious agent and treatment response.
Surgical notes, imaging studies, and post-operative care documentation.
Patients requiring surgical intervention for decompression due to infection.
Documentation must reflect the urgency and necessity of surgical procedures.
Used to evaluate for abscess or infection in the occipito-atlanto-axial region.
Indicate clinical indications for the scan and any prior imaging.
Orthopedic and Infectious Disease specialists should coordinate documentation.
Common causes include bacterial infections such as Staphylococcus aureus, tuberculosis, and fungal infections. Viral infections can also lead to inflammatory changes in the spine.
