Osteonecrosis due to drugs, right humerus
ICD-10 M87.121 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, right humerus.
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 M87.121, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications that may compromise blood flow to the bone. The right humerus is the specific site affected, which can lead to significant pain, limited range of motion, and potential joint dysfunction. Patients may present with symptoms such as shoulder pain, swelling, and difficulty in performing daily activities. Diagnosis typically involves imaging studies such as MRI or X-rays to assess the extent of bone damage. Treatment options may include medication adjustments, physical therapy, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition. Understanding the underlying cause, particularly the role of pharmacological agents, is crucial for effective management and prevention of further complications.
Detailed history of medication use, imaging results, and treatment plans.
Patients presenting with shoulder pain and a history of corticosteroid use.
Orthopedic surgeons must document the extent of bone damage and any surgical interventions performed.
Comprehensive medication history, including duration and dosage of drugs that may cause osteonecrosis.
Patients with autoimmune disorders on long-term corticosteroid therapy presenting with joint pain.
Rheumatologists should consider the overall management of the patient's underlying condition while addressing osteonecrosis.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and the patient's response.
Orthopedic specialists may perform this procedure to alleviate symptoms.
The primary cause of osteonecrosis in this code is drug use, particularly medications like corticosteroids that can impair blood supply to the bone.