Idiopathic aseptic necrosis of right carpus
ICD-10 M87.037 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of right carpus.
Idiopathic aseptic necrosis of the right carpus is a condition characterized by the death of bone tissue due to a lack of blood supply, specifically affecting the carpal bones in the wrist. This condition is termed 'idiopathic' because the exact cause remains unknown, although it is believed to be associated with factors such as trauma, corticosteroid use, and certain medical conditions. The necrosis leads to pain, swelling, and limited range of motion in the wrist, which can significantly impact daily activities. Diagnosis typically involves imaging studies such as X-rays or MRI to visualize the affected bones and assess the extent of necrosis. Treatment options may include conservative management with rest and immobilization, physical therapy, or surgical interventions such as core decompression or bone grafting in more severe cases. Early diagnosis and intervention are crucial to prevent further joint damage and restore function.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with wrist pain, limited mobility, and history of trauma or corticosteroid use.
Ensure clear documentation of the idiopathic nature and exclusion of other causes of osteonecrosis.
Comprehensive imaging reports detailing findings related to necrosis and any differential diagnoses.
Imaging studies requested for wrist pain with suspected osteonecrosis.
Accurate reporting of imaging findings is critical for supporting the diagnosis.
Used when joint aspiration is performed to relieve pain or inject medication.
Document the indication for the procedure and any findings during the aspiration.
Orthopedic specialists should ensure that the procedure is linked to the diagnosis of osteonecrosis.
The primary cause remains unknown, but factors such as trauma, corticosteroid use, and certain medical conditions may contribute to the development of the condition.
