Idiopathic aseptic necrosis of unspecified ankle
ICD-10 M87.073 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of unspecified ankle.
Idiopathic aseptic necrosis of the ankle 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 significant pain, limited mobility, and potential joint dysfunction. The term 'idiopathic' indicates that the exact cause of the necrosis is unknown, which complicates diagnosis and treatment. Aseptic necrosis can occur in various locations, but when it affects the ankle, it may result from factors such as trauma, corticosteroid use, or excessive alcohol consumption, although these are not always identifiable. Clinically, patients may present with gradual onset of pain, swelling, and stiffness in the ankle joint, often exacerbated by weight-bearing activities. Imaging studies, particularly MRI, are crucial for diagnosis, as they can reveal changes in bone marrow and the presence of necrotic areas. Treatment options may include conservative management with rest and physical therapy, or surgical interventions such as core decompression or joint replacement in advanced cases. The management of idiopathic aseptic necrosis requires a multidisciplinary approach, often involving orthopedic specialists.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with ankle pain and limited mobility, often after a history of trauma or corticosteroid use.
Ensure clear documentation of the idiopathic nature and exclusion of other causes of necrosis.
Comprehensive imaging reports detailing findings consistent with aseptic necrosis.
MRI findings indicating bone marrow edema and necrosis in the ankle region.
Radiologists should correlate imaging findings with clinical symptoms to support accurate coding.
Used for patients with joint effusion due to necrosis.
Document the indication for the procedure and any imaging findings.
Orthopedic specialists should ensure proper linkage between the diagnosis and the procedure.
Common symptoms include gradual onset of pain in the affected ankle, swelling, and stiffness, particularly during weight-bearing activities.
Diagnosis typically involves a thorough clinical evaluation and imaging studies, particularly MRI, which can reveal changes in bone marrow and necrotic areas.
Treatment may range from conservative management, including rest and physical therapy, to surgical options like core decompression or joint replacement, depending on the severity of the necrosis.
