Idiopathic aseptic necrosis of ankle, foot and toes
ICD-10 M87.07 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of ankle, foot and toes.
Idiopathic aseptic necrosis of the ankle, foot, and toes 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 deformities in the affected areas. The etiology remains unknown, hence the term 'idiopathic.' It is often associated with risk factors such as corticosteroid use, excessive alcohol consumption, and certain medical conditions like lupus or sickle cell disease. Patients may present with symptoms such as joint pain, swelling, and stiffness, particularly during weight-bearing activities. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of necrosis and rule out other conditions like osteomyelitis or fractures. Treatment options may include conservative management with rest and analgesics, physical therapy, or surgical interventions such as core decompression or joint replacement in severe cases. Early diagnosis and intervention are crucial to prevent further complications and preserve joint function.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with joint pain and limited mobility, particularly after corticosteroid use or trauma.
Ensure to document the absence of infection and the idiopathic nature of the necrosis.
Comprehensive imaging reports detailing findings consistent with aseptic necrosis.
Imaging studies requested for patients with unexplained joint pain or suspected necrosis.
Clear communication of findings to referring physicians to aid in accurate diagnosis and coding.
Used when joint aspiration is performed to relieve pain or for diagnostic purposes.
Document the indication for the procedure and any findings from the aspiration.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common symptoms include joint pain, swelling, and stiffness, particularly during weight-bearing activities. Patients may also experience limited range of motion in the affected joints.
