Osteonecrosis due to drugs, unspecified finger(s)
ICD-10 M87.146 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, unspecified finger(s).
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 M87.146, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications known to affect bone health. The condition can lead to severe pain, limited mobility, and potential joint collapse if not addressed promptly. The unspecified nature of the finger(s) indicates that the exact digit affected is not specified, which can complicate treatment and management strategies. Osteonecrosis can result in significant orthopedic complications, including chronic pain and functional impairment, necessitating careful monitoring and potentially surgical intervention. The diagnosis requires a thorough clinical evaluation, including imaging studies such as MRI or X-rays, to assess the extent of bone damage and guide treatment options.
Detailed documentation of the patient's drug history, imaging results, and treatment plans.
Patients presenting with pain in the fingers after long-term corticosteroid use.
Orthopedic specialists should ensure that all relevant imaging and clinical findings are documented to support the diagnosis.
Comprehensive records of autoimmune conditions and medications prescribed.
Patients with rheumatoid arthritis experiencing finger pain after treatment with disease-modifying antirheumatic drugs (DMARDs).
Rheumatologists must document the relationship between drug therapy and osteonecrosis clearly.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and any imaging findings.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common drugs include corticosteroids, bisphosphonates, and certain chemotherapy agents. It is crucial to document any relevant medication history when coding.
