Idiopathic aseptic necrosis of unspecified toe(s)
ICD-10 M87.079 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of unspecified toe(s).
Idiopathic aseptic necrosis of the 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 can lead to pain, swelling, and potential deformity of the affected toe(s). The etiology remains unknown, hence the term 'idiopathic.' Aseptic necrosis can occur in various bones, but when it affects the toes, it may result from factors such as trauma, vascular insufficiency, or systemic diseases. Clinically, patients may present with localized pain that worsens with 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 measures like rest and analgesics, or surgical interventions in severe cases. Understanding this condition is crucial for accurate coding and appropriate management.
Detailed clinical notes including patient history, physical examination findings, imaging results, and treatment plans.
Patients presenting with toe pain, swelling, or deformity; post-traumatic cases; and those with systemic conditions affecting bone health.
Ensure clear documentation of the idiopathic nature and exclusion of other causes of necrosis.
Comprehensive foot examinations, including vascular assessments and detailed descriptions of symptoms.
Patients with chronic foot pain, athletes with overuse injuries, and those with diabetes or vascular disease.
Document any co-existing conditions that may contribute to necrosis.
Used for pain management in cases of necrosis.
Document the indication for the procedure and any imaging results.
Orthopedic specialists should ensure clear linkage between the procedure and the diagnosis.
The primary cause remains unknown, but it is believed to be related to factors that disrupt blood supply to the bone, such as trauma or systemic diseases.
Diagnosis typically involves a combination of clinical evaluation, imaging studies like X-rays or MRI, and exclusion of other conditions such as osteomyelitis.
Treatment may include conservative measures such as rest and pain management, or surgical options in more severe cases.
