2025 ICD-10-CM code K68.12
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Diseases of peritoneum and retroperitoneum Diseases of the digestive system Feed
Psoas muscle abscess.
Modifiers may be applicable depending on the circumstances of service delivery, such as the place of service or the use of anesthesia.Specific modifier usage should align with payer-specific guidelines and local standards.
Medical necessity for the treatment of a psoas muscle abscess is established by the presence of symptoms (e.g., pain, fever), lab findings indicative of infection, and radiological confirmation of the abscess. Treatment is generally necessary to prevent sepsis, organ damage, and potentially life-threatening complications.
Diagnosis and treatment of the abscess, including imaging studies (e.g., CT scan, MRI), drainage (surgical or percutaneous), and administration of antibiotics.
In simple words: A psoas muscle abscess is a collection of pus in the psoas muscle, a large muscle in your lower back that helps you bend your hip. This infection can be caused by various things, often leading to pain, fever, and swelling.
K68.12, Psoas muscle abscess, is an ICD-10-CM code that classifies an abscess located in the psoas major muscle.The psoas major is a large muscle in the lower back that helps with hip flexion.This abscess can result from various causes, including infections (such as tuberculosis or staphylococcus), and may present with symptoms like pain, fever, and localized swelling.
Example 1: A 35-year-old male presents with severe lower back pain, fever, and elevated inflammatory markers.Imaging reveals a large abscess in the right psoas muscle. The patient undergoes percutaneous drainage and is treated with intravenous antibiotics., A 60-year-old female with a history of diabetes and spinal tuberculosis develops a psoas abscess.The abscess is drained surgically, and the patient receives anti-tuberculosis medication., A 28-year-old male who recently underwent a lumbar spine surgery experiences a post-operative infection, resulting in a retroperitoneal abscess involving the psoas muscle. This necessitates further surgical intervention and antibiotic therapy.
Complete medical history, physical examination findings, laboratory results (including complete blood count, inflammatory markers, and cultures), and imaging studies (CT scan or MRI) are required to support the diagnosis.Operative reports, pathology results (if applicable), and medication administration records should be meticulously documented.
** Accurate coding requires a thorough understanding of the patient's medical history, clinical presentation, and the treatment plan implemented.Consultation with other healthcare professionals may be necessary to ensure appropriate coding.
- Payment Status: Active
- Specialties:Infectious Disease, Orthopedics, Surgery, Internal Medicine, Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office