Idiopathic aseptic necrosis of tibia and fibula
ICD-10 M87.06 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of tibia and fibula.
Idiopathic aseptic necrosis of the tibia and fibula is a condition characterized by the death of bone tissue due to a lack of blood supply, without the presence of infection. This condition is often seen in younger individuals and can result from various factors, including trauma, corticosteroid use, or excessive alcohol consumption, although in many cases, the exact cause remains unknown. The necrosis leads to bone collapse, pain, and functional impairment, particularly in weight-bearing activities. Patients may present with localized pain, swelling, and limited range of motion in the affected limb. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to assess the extent of bone damage. 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. Early diagnosis and intervention are crucial to prevent further complications and improve outcomes.
Detailed imaging reports, surgical notes, and patient history.
Patients presenting with chronic pain in the lower leg, especially after trauma or corticosteroid use.
Ensure clear documentation of the absence of infection and the idiopathic nature of the necrosis.
Comprehensive imaging studies with clear interpretations.
Imaging for suspected osteonecrosis in patients with risk factors.
Accurate reporting of findings to support the diagnosis of M87.06.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and the patient's response.
Orthopedic specialists should ensure clear documentation of the diagnosis and treatment plan.
Common causes include trauma, corticosteroid use, excessive alcohol consumption, and certain medical conditions, although many cases remain idiopathic with no identifiable cause.
