Osteonecrosis due to drugs, shoulder
ICD-10 M87.11 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, shoulder.
Osteonecrosis, also known as avascular necrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. In the case of M87.11, the osteonecrosis is specifically attributed to the use of certain medications, which can disrupt blood flow to the bone. This condition often affects the shoulder joint, leading to pain, limited range of motion, and potential joint collapse if not addressed promptly. Common drugs associated with drug-induced osteonecrosis include corticosteroids and bisphosphonates. Clinically, patients may present with shoulder pain that worsens with activity, and imaging studies such as MRI or X-rays may reveal changes in the bone structure indicative of necrosis. Early diagnosis and intervention are crucial to prevent further complications, including the need for surgical intervention such as joint replacement. Understanding the underlying causes, including the patient's medication history, is essential for effective management and coding of this condition.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with shoulder pain after corticosteroid therapy or bisphosphonate use.
Orthopedic surgeons must document the extent of joint involvement and any surgical interventions planned.
Comprehensive medication history, including duration and dosage of drugs that may contribute to osteonecrosis.
Patients with autoimmune diseases on long-term corticosteroids presenting with joint pain.
Rheumatologists should consider the patient's overall treatment plan and potential drug interactions.
Used for pain management in patients with osteonecrosis of the shoulder.
Document the indication for the procedure and the patient's response.
Orthopedic specialists may perform this procedure for symptomatic relief.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's crucial to document any relevant medication history when coding.
