Osteonecrosis due to drugs, left hand
ICD-10 M87.142 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, left hand.
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 M87.142, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications that may compromise blood flow to the bones. The left hand is affected, indicating that the necrosis is localized to the bones in this area, which may include the metacarpals and phalanges. Symptoms often include pain, limited range of motion, and potential deformity of the affected bones. Diagnosis typically involves imaging studies such as MRI or X-rays to assess bone integrity and blood flow. Treatment options may vary from conservative management, including pain relief and physical therapy, to surgical interventions like 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 patient history, imaging results, and treatment plans.
Patients presenting with joint pain and a history of corticosteroid use.
Ensure clear documentation of the drug history and its correlation with symptoms.
Comprehensive medication history and assessment of autoimmune conditions.
Patients with autoimmune disorders receiving long-term corticosteroid therapy.
Document the relationship between the underlying condition, treatment, and osteonecrosis.
Used for pain management in osteonecrosis cases.
Document the indication for the procedure and the joint involved.
Orthopedic specialists should ensure proper coding based on the joint treated.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents, which can impair blood flow to the bones.
