Find comprehensive information on psoas abscess diagnosis, including clinical documentation, ICD-10 codes (M60.01, M60.02), medical coding guidelines, and differential diagnosis considerations. Learn about psoas abscess symptoms, treatment options, and the role of imaging studies like CT scans and MRI in diagnosis. This resource offers guidance for healthcare professionals on accurately documenting and coding psoas abscess cases for optimal patient care and reimbursement. Explore psoas major abscess, iliopsoas abscess, and retroperitoneal abscess information for complete clinical understanding.
Also known as
Myositis
Inflammatory muscle disease, including infective myositis leading to abscess formation.
Cutaneous Abscess, Trunk
Abscesses forming in the skin and subcutaneous tissues of the trunk, possibly related to deeper psoas abscess.
Nonspecific Lymphadenitis
Inflammation of lymph nodes which might occur secondary to psoas abscess infection.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the psoas abscess associated with tuberculosis?
When to use each related code
| Description |
|---|
| Psoas abscess |
| Appendicitis |
| Diverticulitis |
Patient presents with complaints consistent with possible psoas abscess. Presenting symptoms include fever, flank pain, back pain, hip pain, abdominal pain, and limp. Patient reports [duration of symptoms]. Pain is described as [character of pain: e.g., dull, aching, sharp, throbbing] and located in the [specific location of pain]. Patient denies [relevant negatives, e.g., trauma, recent infection]. Physical examination reveals [positive findings, e.g., tenderness to palpation in the flank, hip flexion contracture, positive psoas sign]. Differential diagnosis includes appendicitis, pyelonephritis, diverticulitis, osteomyelitis, and septic arthritis. Ordered complete blood count (CBC) with differential, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), urinalysis, and blood cultures. Imaging studies including computed tomography (CT) scan of the abdomen and pelvis with intravenous contrast are planned to evaluate for psoas muscle abscess. Preliminary diagnosis of psoas abscess is suspected. Patient will be admitted for further evaluation and management, including possible percutaneous drainage or surgical intervention. Treatment plan will be determined based on imaging results and patient's clinical response. ICD-10 code M60.01 (primary) will be utilized, with additional codes added as necessary based on confirmed diagnosis and procedures performed. CPT codes for procedures will be documented upon completion.