Osteonecrosis due to drugs, hand and fingers
ICD-10 M87.14 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, hand and fingers.
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 M87.14, the osteonecrosis is specifically attributed to the use of certain medications. This condition can affect various bones, but when it involves the hand and fingers, it can lead to significant pain, limited mobility, and functional impairment. The etiology of drug-induced osteonecrosis often includes corticosteroids, bisphosphonates, and other medications that may compromise blood flow to the bone. Clinically, patients may present with localized pain, swelling, and tenderness in the affected areas, and imaging studies such as MRI or X-rays may reveal characteristic changes in bone density and structure. Early diagnosis and intervention are crucial to prevent further complications, including joint collapse and the need for surgical intervention. Treatment options may include medication adjustments, physical therapy, and in severe cases, surgical procedures such as joint replacement.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with joint pain and a history of corticosteroid use.
Ensure clear documentation of the relationship between drug use and symptoms.
Comprehensive review of the patient's medication regimen and any underlying conditions.
Patients with autoimmune disorders on long-term corticosteroids presenting with hand pain.
Document any changes in medication that may impact the condition.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and the patient's response.
Orthopedic specialists should ensure that the procedure is justified based on the patient's condition.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's important to document any relevant medication history when coding.
