Osteonecrosis due to drugs, right toe(s)
ICD-10 M87.177 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, right toe(s).
Osteonecrosis due to drugs, specifically affecting the right toe(s), is a condition characterized by the death of bone tissue due to a lack of blood supply, which can be precipitated by certain medications. This condition often arises from the use of corticosteroids, bisphosphonates, or other pharmacological agents that can impair blood flow to the bone. Patients may present with localized pain, swelling, and limited mobility in the affected toe(s). The diagnosis is typically confirmed through imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Osteonecrosis can lead to severe complications, including joint dysfunction and the potential need for surgical intervention, such as joint replacement or debridement. The right toe(s) being specifically affected indicates a localized process, which may require targeted treatment strategies. Understanding the underlying causes, including the specific drugs involved, is crucial for effective management and prevention of further complications.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with pain in the toe(s) after starting corticosteroids.
Ensure clear documentation of the relationship between drug use and osteonecrosis.
Comprehensive medication history, including duration and dosage of drugs.
Patients with autoimmune conditions on long-term steroid therapy developing toe pain.
Consideration of underlying rheumatologic conditions that may contribute to osteonecrosis.
Used for pain management in osteonecrosis cases.
Document indication for procedure and response to treatment.
Orthopedic specialists often perform this procedure.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It is important to document any relevant medication history when coding.
