Idiopathic aseptic necrosis of left hand
ICD-10 M87.042 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of left hand.
Idiopathic aseptic necrosis of the left hand refers to the death of bone tissue due to a lack of blood supply, specifically affecting the bones in the hand. This condition is termed 'idiopathic' because the exact cause is unknown, although it may be associated with factors such as trauma, corticosteroid use, or excessive alcohol consumption. The necrosis leads to pain, limited mobility, and potential deformity in the affected area. Clinically, patients may present with symptoms such as localized pain, swelling, and tenderness in the hand, particularly during weight-bearing activities or movement. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure indicative of necrosis. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or bone grafting in more severe cases. The condition can lead to significant orthopedic complications if not properly managed, including chronic pain and functional impairment of the hand.
Detailed clinical notes including patient history, imaging results, and treatment plans.
Patients presenting with hand pain and limited mobility, especially post-trauma or with a history of corticosteroid use.
Ensure clear documentation of the idiopathic nature and exclusion of other causes of necrosis.
Comprehensive imaging reports detailing findings consistent with osteonecrosis.
Imaging studies requested for patients with unexplained hand pain.
Radiologists should provide clear descriptions of bone changes to support the diagnosis.
Used for pain management in patients with necrosis.
Document the reason for the procedure and the specific joint involved.
Orthopedic specialists should ensure clear linkage between the procedure and the diagnosis.
The primary cause is unknown, but it may be associated with factors such as trauma, corticosteroid use, and vascular issues.
Diagnosis is typically made through clinical evaluation and imaging studies, particularly MRI, which can detect early changes in bone.
Treatment options range from conservative management, including pain relief and physical therapy, to surgical interventions like core decompression.
