Idiopathic aseptic necrosis of pelvis
ICD-10 M87.050 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of pelvis.
Idiopathic aseptic necrosis of the pelvis 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 affects the femoral head but can also involve other areas of the pelvis. The etiology remains unclear, hence the term 'idiopathic.' Patients may present with hip pain, limited range of motion, and functional impairment. The necrosis can lead to structural collapse of the bone, resulting in significant orthopedic complications, including osteoarthritis and joint dysfunction. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure. Treatment options may include conservative management, such as physical therapy and pain management, or surgical interventions like core decompression or total hip arthroplasty in advanced cases. Early recognition and intervention are crucial to prevent further complications and preserve joint function.
Detailed clinical notes, imaging results, and treatment plans must be documented.
Patients presenting with hip pain, limited mobility, or previous trauma.
Ensure clear documentation of the idiopathic nature and any differential diagnoses considered.
Imaging reports must clearly indicate findings consistent with aseptic necrosis.
Imaging studies requested for patients with unexplained hip pain.
Radiologists should provide detailed descriptions of bone changes to support the diagnosis.
Used for joint pain management in patients with necrosis.
Document the indication for aspiration and findings.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common symptoms include hip pain, limited range of motion, and difficulty bearing weight on the affected side.
