M46.35
Infection of intervertebral disc (pyogenic), thoracolumbar region
Clinical Classification Guidelines
Medical Intelligence & Overview
Infections of the intervertebral disc, particularly in the thoracolumbar region, are serious medical conditions that involve the spread of bacteria or other pathogens to the disc space between the vertebrae. This condition, often called pyogenic discitis, can cause significant pain and may lead to more severe health issues if not diagnosed and treated promptly. Knowing about this condition helps in understanding its causes, symptoms, and the importance of medical intervention.
Causes & Symptoms
Clinical Causes: Bacterial spread through the bloodstream from other infection sites Direct inoculation during spinal surgery or trauma Spread from adjacent infected tissues or structures Weakened immune system increasing susceptibility Pre-existing spinal conditions or degenerative disc disease
Key Symptoms: Severe localized pain in the mid to lower back or chest Fever and chills, indicating infection Swelling and tenderness around the affected area Reduced range of motion or stiffness in the back Possible neurological symptoms such as numbness, weakness, or tingling if the infection compresses spinal nerves General feelings of malaise or fatigue
Diagnostic & Treatment
Diagnosis Path: Diagnosing a thoracolumbar disc infection typically involves a combination of clinical evaluations and diagnostic tests. Healthcare providers may perform:
Treatment Protocols: Treatment strategies for thoracolumbar disc infections aim to eliminate the infection, relieve symptoms, and prevent complications. Approaches include:
Clinical Advice & FAQs
Billing Guidance
Is M46.35 a billable ICD-10 code?
Yes, M46.35 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M46.35?
Clinical documentation must specify the nature of Infection of intervertebral disc (pyogenic), thoracolumbar region and any associated comorbidities for accurate reporting.
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