Idiopathic aseptic necrosis of left toe(s)
ICD-10 M87.078 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of left toe(s).
Idiopathic aseptic necrosis of the left toe(s) 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 the small bones of the feet, particularly the toes, and can lead to significant pain, swelling, and functional impairment. The etiology remains unknown, hence the term 'idiopathic.' Patients may present with localized tenderness, difficulty in ambulation, and may experience joint stiffness. 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 with rest, analgesics, and physical therapy, or more invasive procedures such as surgical intervention in severe cases. The absence of infection differentiates this condition from osteomyelitis, which is an infection of the bone that requires different management strategies. Understanding the nuances of this condition is crucial for accurate coding and appropriate patient management.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with toe pain, swelling, and limited mobility; cases following trauma or with underlying vascular issues.
Ensure clear documentation of the absence of infection and the idiopathic nature of the necrosis.
Comprehensive foot examinations, including vascular assessments and imaging studies.
Patients with chronic foot pain, particularly in the toes, often with a history of previous foot injuries.
Focus on the functional impact of the condition on ambulation and daily activities.
Used when joint aspiration is performed to relieve pain or assess joint fluid.
Document the reason for aspiration, findings, and any therapeutic interventions.
Orthopedic specialists may perform this procedure for diagnostic or therapeutic purposes.
The primary cause is unknown, but it is believed to be related to reduced blood supply to the bone, which can occur due to various factors including trauma, vascular issues, or systemic diseases.
