Osteonecrosis due to drugs, unspecified femur
ICD-10 M87.159 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, unspecified femur.
Osteonecrosis due to drugs, particularly affecting the femur, is a condition characterized by the death of bone tissue due to a lack of blood supply, often precipitated by the use of certain medications. Commonly implicated drugs include corticosteroids and bisphosphonates, which can disrupt normal bone remodeling and lead to localized bone death. The femur, being a weight-bearing bone, is particularly susceptible to this condition, resulting in pain, limited mobility, and potential joint dysfunction. Patients may present with symptoms such as hip pain, limping, and decreased range of motion. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Early detection is crucial to prevent further complications, including the risk of fracture and the need for surgical intervention. Treatment options may include medication adjustments, physical therapy, and in severe cases, surgical procedures such as core decompression or joint replacement.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with hip pain and a history of corticosteroid use.
Ensure that all relevant imaging studies are included in the documentation.
Comprehensive medication history, including dosage and duration of use.
Patients with autoimmune disorders on long-term steroid therapy presenting with joint pain.
Document any underlying conditions that may contribute to osteonecrosis.
Used for joint pain management in patients with osteonecrosis.
Document the reason for the procedure and any imaging findings.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's important to document any relevant medication history when coding.
