Osteonecrosis due to drugs of radius, ulna and carpus
ICD-10 M87.13 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs of radius, ulna and carpus.
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 M87.13, this specific type of osteonecrosis is induced by the use of certain medications, which can compromise blood flow to the bones of the radius, ulna, and carpus. Commonly implicated drugs include corticosteroids and bisphosphonates, which are often used to treat conditions such as rheumatoid arthritis, lupus, and osteoporosis. The clinical presentation may include pain, swelling, and limited range of motion in the affected wrist or forearm. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure. If left untreated, osteonecrosis can lead to joint collapse and significant orthopedic complications, necessitating surgical interventions such as joint replacement or bone grafting. Early recognition and management are crucial to prevent irreversible damage and maintain function.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with wrist pain and a history of corticosteroid use.
Orthopedic surgeons should document the extent of bone involvement and any surgical interventions planned.
Comprehensive medication history and assessment of underlying rheumatologic conditions.
Patients with autoimmune disorders on long-term corticosteroid therapy presenting with joint pain.
Rheumatologists should ensure that the link between medication and osteonecrosis is clearly established.
Used for joint pain management in patients with osteonecrosis.
Document the indication for the procedure and the joint involved.
Orthopedic specialists should note the extent of joint involvement.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It is essential to document any relevant medication history when coding.
