Idiopathic aseptic necrosis of humerus
ICD-10 M87.02 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of humerus.
Idiopathic aseptic necrosis of the humerus is a condition characterized by the death of bone tissue due to a lack of blood supply, without the presence of infection. This condition often occurs in the humeral head and can lead to significant pain, limited range of motion, and potential joint dysfunction. The etiology remains unclear, hence the term 'idiopathic.' Risk factors may include corticosteroid use, alcohol consumption, and certain medical conditions such as sickle cell disease or systemic lupus erythematosus. Patients typically present with shoulder pain that may be exacerbated by activity and may experience stiffness in the joint. Diagnosis is often confirmed through imaging studies, including MRI, which can reveal changes in bone marrow signal and the presence of necrotic areas. Early intervention is crucial to prevent further joint damage and may involve conservative management or surgical options depending on the severity of the condition.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with shoulder pain, limited range of motion, and imaging findings suggestive of necrosis.
Ensure clear documentation of the idiopathic nature and exclusion of secondary causes.
Comprehensive imaging reports detailing findings consistent with aseptic necrosis.
MRI or X-ray evaluations of patients referred for shoulder pain.
Radiologists should clearly indicate the absence of infection to support the diagnosis.
Used when assessing joint damage in patients with suspected necrosis.
Document indications for arthroscopy and findings.
Orthopedic surgeons should ensure clear linkage between diagnosis and procedure.
Common symptoms include localized shoulder pain, stiffness, and limited range of motion. Patients may experience pain that worsens with activity.
