Intervertebral disc, infection (infective discitis): Difference between revisions
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== Additional Info == | == Additional Info == | ||
*Discitis or diskitis is an infection in the intervertebral disc space that affects different age groups. In adults it can lead to severe consequences such as sepsis or epidural abscess but | *Discitis or diskitis is an infection in the intervertebral disc space that affects different age groups. In adults it can lead to severe consequences such as sepsis or epidural abscess but can also spontaneously resolve, especially in children under 8 years of age | ||
*Do not confuse this with '''[[ Vertebrae, osteomyelitis (bone infection)]]''', which is infection of vertebral BONE. They can occur together, but usually don't. | *Do not confuse this with '''[[Vertebrae, osteomyelitis (bone infection)]]''', which is infection of vertebral BONE. They can occur together, but usually don't. | ||
{{Discuss | who = Allan | question = q | {{Discuss | who = Allan | question = q | ||
* moved the following from [[Vertebrae, osteomyelitis (bone infection)]]; is that still how we want to do it? Ttenbergen 20:57, 2017 November 21 (CST) | * moved the following from [[Vertebrae, osteomyelitis (bone infection)]]; is that still how we want to do it? Ttenbergen 20:57, 2017 November 21 (CST) | ||
** Discitis + antibiotics --> Osteomyelitis | ** Discitis + antibiotics --> Osteomyelitis | ||
** Discitis + NO antibiotics -->[[Osteoarthritis]] | ** Discitis + NO antibiotics -->[[Osteoarthritis]] | ||
*AG REPLY -- No, osteomyelitis is BONE infection, this is infection of the cartilaginous intervetebral disc, not the adjacent bone. One can have both but usually doesn't}} | *AG REPLY -- No, osteomyelitis is BONE infection, this is infection of the cartilaginous intervetebral disc, not the adjacent bone. One can have both but usually doesn't | ||
* So does the instruction become the following? : | |||
** Discitis + antibiotics --> [[Intervertebral disc, infection (infective discitis)]] | |||
** Discitis + NO antibiotics -->[[Osteoarthritis]] | |||
}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
Revision as of 15:26, 2018 September 6
| ICD10 Diagnosis | |
| Dx: | Intervertebral disc, infection (infective discitis) |
| ICD10 code: | M46.3 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- Discitis or diskitis is an infection in the intervertebral disc space that affects different age groups. In adults it can lead to severe consequences such as sepsis or epidural abscess but can also spontaneously resolve, especially in children under 8 years of age
- Do not confuse this with Vertebrae, osteomyelitis (bone infection), which is infection of vertebral BONE. They can occur together, but usually don't.
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Alternate ICD10s to consider coding instead or in addition
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Candidate Combined ICD10 codes
Infections
Infections in ICD10 have combined coding requirements for some of their pathogens. Any that have antibiotic resistances would store those as Combined ICD10 codes as well. If the infection is acquired in the hospital, see Nosocomial infection, NOS. See Lab and culture reports for confirmation and details about tests. See Infections in ICD10 for more general info.
Possible Simultaneous Presence of Multiple Different Types of Infection in a Single Site
- This refers to the situation where there may be simultaneous infection with multiple types of organisms -- e.g. 2 of bacteria, virus, fungus. While a classic example is a proven viral pneumonia (e.g. influenza) with a suspected/possible bacterial pneumonia superimposed, this kind of thing can occur in places other than the lungs, e.g. meningitis.
- The "signature" of this is typically the patient being treated simultaneously with antimicrobial agents for multiple types of organisms. BUT don't confuse this with there being infections at DIFFERENT body sites.
- As per our usual practice, we will consider a diagnosis as present if the clinical team thinks it's present and are treating it, with the exception that the team initially treated for the possible 2nd type of infection but then decided it likely was NOT present and stopped those agents.
- And remember that Infectious organism, unknown is used when the the specific organism is unknown (this could be not knowing the TYPE of organism, or suspecting the type but not having identified the specific organism of that type), while when the organism has been identified but it's not in our bug list, THEN use Bacteria, NOS, Virus, NOS or Fungus or yeast, NOS.
Attribution of infections
Related CCI Codes
Related Articles
Show all ICD10 Subcategories