Osteonecrosis due to drugs, unspecified foot
ICD-10 M87.176 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, unspecified foot.
Osteonecrosis, also known as avascular necrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. In the case of M87.176, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications that may compromise blood flow to the bones. The unspecified foot designation indicates that the specific location of the osteonecrosis within the foot is not detailed. Clinically, patients may present with pain, swelling, and limited range of motion in the affected foot. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. The condition can lead to significant orthopedic complications, including fractures and joint degeneration, necessitating careful management and potential surgical intervention. Treatment options may include medication adjustments, physical therapy, and in severe cases, surgical procedures like core decompression or joint replacement.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with foot pain and a history of corticosteroid use.
Ensure that all relevant imaging studies are documented to support the diagnosis.
Comprehensive medication history, including dosage and duration of use.
Patients with autoimmune disorders on long-term steroid therapy presenting with joint pain.
Document the rationale for medication use and any changes in therapy.
Used for joint pain management in osteonecrosis cases.
Document the joint involved and the reason for the procedure.
Orthopedic specialists should ensure proper coding for joint injections.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's essential to document any relevant medication history when coding.
