Idiopathic aseptic necrosis of bone
ICD-10 M87.0 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of bone.
Idiopathic aseptic necrosis of bone, also known as osteonecrosis, 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 occur in various bones but is most commonly seen in the femoral head. The etiology remains unclear, hence the term 'idiopathic.' Risk factors include corticosteroid use, excessive alcohol consumption, trauma, and certain medical conditions such as sickle cell disease and lupus. Patients typically present with joint pain, limited range of motion, and sometimes swelling. Diagnosis is often confirmed through imaging studies such as MRI or X-rays, which reveal changes in bone density and structure. Treatment options vary based on the stage of the disease and may include conservative management, such as physical therapy and pain relief, or surgical interventions like core decompression or joint replacement. Early diagnosis and intervention are crucial to prevent further joint damage and preserve function.
Detailed imaging reports, treatment plans, and follow-up notes are essential.
Patients presenting with hip pain and a history of corticosteroid use.
Ensure accurate documentation of the affected bone and stage of necrosis.
Comprehensive patient history including autoimmune conditions and medication use.
Patients with systemic lupus erythematosus presenting with joint pain.
Document any underlying conditions that may contribute to osteonecrosis.
Used for pain management in patients with osteonecrosis.
Document the reason for the procedure and the joint involved.
Orthopedic specialists should ensure accurate coding based on the joint treated.
The primary cause is often unknown, but it can be associated with risk factors such as corticosteroid use, alcohol consumption, and certain medical conditions.
