ICD 10 CM M46.38 | Description & Clinical Information
ICD 10 M46.38 describes a medical condition characterized by the presence of pyogenic infection and inflammation in the intervertebral disc located in the sacral and sacrococcygeal regions of the spine, which is often caused by the spread of bacteria from other parts of the body, as a complication of spinal surgery, or as a consequence of certain chronic illnesses that compromise the immune system, resulting in the formation of pus and the weakening of the fibrous cushion that separates the vertebrae.
Official Description Of M46.38
The ICD 10 CM book defines ICD 10 code M46.38 as:
Use additional code (B95-B97) to identify infectious agent.
Clinical Information
The diagnosis describes by ICD 10 CM M46.38 code refers to a pyogenic infection affecting the intervertebral disc in the back. This type of infection is caused by a bacterial organism that enters the disc from a nearby infected region, such as skin or lung. Pyogenic infections in the intervertebral disc can lead to severe back pain, fatigue, fever, nausea, tenderness, redness, warmth, and swelling of the infected area, and a restricted range of motion.
In order to diagnose the condition, healthcare providers rely on a combination of patient history, physical examination, and diagnostic imaging techniques such as X-rays and MRI scans. During the physical examination, the provider will likely inspect the affected area for signs of redness, warmth, and swelling, as well as evaluate the range of motion in the patient’s back. Needle biopsy and blood tests may also be needed to identify the infectious agent.
Treatment for pyogenic infection of the intervertebral disc includes a combination of medication, a brace, and surgery. Broad-spectrum antibiotics can be prescribed to address the bacterial infection. A brace is used to stabilize the spine and reduce the likelihood of further damage.
In more severe cases, surgery may be required to remove the infected tissue or bone. Surgery may also be necessary in cases where there is significant compression of the spinal cord or nerves, which can cause neurological symptoms such as pain, numbness, and weakness.
It is important for healthcare providers to accurately diagnose and treat patients with pyogenic infection of the intervertebral disc. This condition can cause significant pain and discomfort, and if left untreated, can result in serious complications such as neurological damage or sepsis.
Patients with a history of spinal infection, especially those with a weakened immune system, are at higher risk of developing pyogenic infections of the intervertebral disc. It is important for these individuals to receive prompt medical attention if they develop any symptoms of spinal infection.
In conclusion, healthcare providers must be diligent in their efforts to diagnose and treat patients with pyogenic infection of the intervertebral disc. By diagnosing and treating this condition early, providers can help minimize pain and discomfort, prevent complications, and improve the patient’s quality of life.
