M46.36
Infection of intervertebral disc (pyogenic), lumbar region
Clinical Classification Guidelines
Medical Intelligence & Overview
An infection of the intervertebral disc, known medically as pyogenic discitis, occurs when bacteria invade the disc space between two vertebrae in the lower back, or lumbar region. This condition can cause significant pain, inflammation, and potential complications if not diagnosed and managed promptly. While it is a relatively rare condition, understanding its causes, symptoms, diagnostic approaches, and treatment options is important for affected individuals and healthcare providers alike.
Causes & Symptoms
Clinical Causes: Bacterial spread from other infected areas, such as the urinary tract or skin Bloodstream infections (bacteremia) that reach the disc space Direct inoculation during spinal surgeries or invasive procedures Contiguous spread from nearby infected tissues, such as vertebral osteomyelitis Weakened immune system, which increases susceptibility to infections
Key Symptoms: Localized lower back pain that worsens with movement or pressure Fever and chills, indicating an active infection General fatigue and malaise Radiating pain or nerve-related symptoms if nerves are compressed Swelling or tenderness over the affected lumbar area Possible weight loss or night sweats in prolonged cases
Diagnostic & Treatment
Diagnosis Path: Diagnosing a pyogenic infection of the lumbar intervertebral disc involves a combination of medical history, physical examination, and various diagnostic tests. Healthcare providers may use the following approaches:
Treatment Protocols: Managing a lumbar intervertebral disc infection typically involves a multidisciplinary approach, including antibiotic therapy, possible surgical intervention, and supportive care:
Clinical Advice & FAQs
Billing Guidance
Is M46.36 a billable ICD-10 code?
Yes, M46.36 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M46.36?
Clinical documentation must specify the nature of Infection of intervertebral disc (pyogenic), lumbar region and any associated comorbidities for accurate reporting.
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