Idiopathic aseptic necrosis of unspecified femur
ICD-10 M87.059 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of unspecified femur.
Idiopathic aseptic necrosis of the femur 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 lead to severe pain, limited mobility, and potential joint dysfunction. The etiology remains unknown, hence the term 'idiopathic.' The femur, being the largest bone in the body, is particularly susceptible to this condition, especially in the head of the femur where the blood supply is tenuous. Patients often present with hip pain that may radiate to the groin or knee, and symptoms can worsen with weight-bearing activities. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal characteristic changes in bone density and structure. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or total hip replacement in advanced cases. Early diagnosis and intervention are crucial to prevent further complications and preserve joint function.
Detailed clinical notes including patient history, physical examination findings, imaging results, and treatment plans.
Patients presenting with hip pain, limited range of motion, and a history of risk factors such as corticosteroid use or alcohol consumption.
Orthopedic surgeons must ensure that all relevant imaging and clinical findings are documented to support the diagnosis of idiopathic aseptic necrosis.
Comprehensive imaging reports detailing findings consistent with osteonecrosis, including MRI or CT findings.
Radiologists interpreting imaging studies for patients with hip pain suspected of having osteonecrosis.
Radiology reports should clearly indicate the absence of infection and the presence of characteristic changes in bone structure.
Used when surgical intervention is required for advanced osteonecrosis.
Operative reports must detail the diagnosis and justification for surgery.
Orthopedic surgeons should ensure that the diagnosis of M87.059 is clearly documented in the surgical notes.
M87.059 is used when the laterality of the femur is unspecified, while M87.05 specifies necrosis of the right femur. Accurate coding requires knowing the laterality when applicable.
