Idiopathic aseptic necrosis of left tibia
ICD-10 M87.062 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of left tibia.
Idiopathic aseptic necrosis of the left tibia is a condition characterized by the death of bone tissue due to a lack of blood supply, without the presence of infection. This condition can lead to bone collapse and joint dysfunction. The etiology remains unknown, hence the term 'idiopathic.' Patients may present with pain, swelling, and limited range of motion in the affected leg. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure. Treatment options may include conservative management with rest and analgesics, physical therapy, or surgical interventions such as core decompression or osteotomy in more severe cases. The condition is often associated with risk factors such as corticosteroid use, alcohol consumption, and certain medical conditions like sickle cell disease or systemic lupus erythematosus. Early diagnosis and intervention are crucial to prevent further complications and preserve joint function.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with knee or ankle pain, particularly in younger adults or those with risk factors for osteonecrosis.
Ensure clear documentation of the idiopathic nature and exclusion of other causes of bone necrosis.
Comprehensive imaging reports detailing findings consistent with aseptic necrosis.
Imaging studies requested for unexplained bone pain or joint dysfunction.
Radiologists should correlate imaging findings with clinical history to support accurate coding.
Used for symptomatic relief in patients with joint effusion due to necrosis.
Document the indication for the procedure and any imaging findings.
Orthopedic specialists should ensure clear linkage between the procedure and the diagnosis.
The primary cause is unknown, but it is often associated with risk factors such as corticosteroid use, alcohol consumption, and certain medical conditions.
Diagnosis is typically made through imaging studies, particularly MRI, which can reveal changes in bone structure and density indicative of necrosis.
Treatment options range from conservative management, including rest and physical therapy, to surgical interventions such as core decompression or joint replacement, depending on the severity of the condition.
