Osteonecrosis due to drugs, pelvis and femur
ICD-10 M87.15 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, pelvis and femur.
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 M87.15, the osteonecrosis is specifically attributed to the use of certain medications, which can disrupt blood flow to the bones. This condition commonly affects the pelvis and femur, leading to severe pain, limited mobility, and potential joint collapse. The pathophysiology involves the death of osteocytes and bone marrow cells, resulting in structural weakening of the bone. Patients may present with symptoms such as hip pain, groin pain, and difficulty bearing weight. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. 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 link between drug use and osteonecrosis is crucial for effective management and prevention of further complications.
Detailed patient history, imaging results, and treatment plans.
Patients presenting with hip pain and a history of corticosteroid use.
Ensure clear documentation of the relationship between drug use and osteonecrosis.
Comprehensive medication history and assessment of joint involvement.
Patients with autoimmune disorders on long-term immunosuppressive therapy.
Document the rationale for medication use and its potential side effects.
Performed in cases of severe osteonecrosis requiring joint replacement.
Operative report detailing the extent of osteonecrosis and justification for surgery.
Orthopedic surgeons must document the patient's history of drug use.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's important to document any relevant medication history when coding.
