Idiopathic aseptic necrosis of right shoulder
ICD-10 M87.011 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of right shoulder.
Idiopathic aseptic necrosis of the right shoulder, also known as osteonecrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. This condition can occur without any identifiable cause, hence the term 'idiopathic.' The right shoulder is specifically affected, leading to pain, limited range of motion, and potential joint dysfunction. The necrosis typically occurs in the humeral head, which is the ball of the shoulder joint. Risk factors may include corticosteroid use, excessive alcohol consumption, and certain medical conditions such as lupus or sickle cell disease. Patients often present with gradual onset of shoulder pain, which may worsen with activity. Diagnosis is usually confirmed through imaging studies such as MRI or X-rays, which reveal changes in bone density and structure. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or joint replacement in advanced cases. Early diagnosis and intervention are crucial to prevent further joint damage and preserve function.
Detailed imaging reports, clinical notes on pain and function, and treatment plans.
Patients presenting with shoulder pain, limited range of motion, and history of corticosteroid use.
Ensure that the documentation clearly states the idiopathic nature and excludes other causes.
Clear imaging findings indicating necrosis and absence of other pathologies.
MRI findings of the shoulder in patients with unexplained shoulder pain.
Radiologists should provide detailed reports that correlate imaging findings with clinical symptoms.
Used when surgical intervention is required for osteonecrosis.
Operative reports detailing the procedure and findings.
Orthopedic surgeons should ensure that the diagnosis is clearly linked to the procedure.
The primary cause is often unknown, but it can be associated with risk factors such as corticosteroid use, alcohol consumption, and certain medical conditions.
