Osteonecrosis due to drugs, right foot
ICD-10 M87.174 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, right foot.
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 M87.174, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications that may compromise blood flow to the bone. The right foot is affected, which can lead to significant pain, limited mobility, and potential complications such as fractures or joint collapse. Patients may present with symptoms including localized pain, swelling, and difficulty bearing weight on the affected foot. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage. 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 etiology and management of drug-induced osteonecrosis is crucial for effective treatment and coding.
Detailed history of medication use, imaging results, and treatment plans.
Patients presenting with foot pain after corticosteroid therapy.
Ensure clear documentation of the relationship between drug use and osteonecrosis.
Comprehensive medication history and assessment of underlying conditions.
Patients with autoimmune disorders on long-term steroid therapy developing foot pain.
Document the rationale for medication use and any changes made due to osteonecrosis.
Used when a patient with osteonecrosis requires joint aspiration for pain relief.
Document the indication for the procedure and any findings.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
The primary cause of osteonecrosis in M87.174 is drug use, particularly medications that impair blood flow to the bone, such as corticosteroids.
