Discitis, unspecified, sacral and sacrococcygeal region

This code signifies inflammation of an intervertebral disc in the sacral or sacrococcygeal region, where the specific cause of the inflammation is not documented. It represents a non-infectious or unconfirmed infectious inflammatory process affecting the disc space in the lower spine.

Use this code when documentation indicates discitis localized to the sacral or sacrococcygeal region, but the etiology (e.g., infectious, autoimmune) is not specified. This code is appropriate when imaging studies or clinical findings confirm disc inflammation in this specific spinal segment without further diagnostic clarity regarding the cause.

• Do not use this code if the discitis is explicitly stated as infectious; instead, use a more specific code from the M46.2- series.
• Ensure the documentation clearly specifies the sacral or sacrococcygeal region; otherwise, consider codes for other spinal regions.
• Always review for any associated conditions, such as myelopathy or radiculopathy, which would require additional coding.