Osteonecrosis due to drugs, other site
ICD-10 M87.188 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, other site.
Osteonecrosis due to drugs, classified under ICD-10 code M87.188, refers to the death of bone tissue resulting from a lack of blood supply, specifically induced by pharmacological agents. This condition can occur in various sites of the body, most commonly in the femoral head, but can also affect other bones. The pathophysiology involves the disruption of blood flow to the bone, which can be caused by long-term use of certain medications, such as corticosteroids, bisphosphonates, and chemotherapy agents. Patients may present with pain, limited range of motion, and functional impairment. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Treatment options may include conservative management, such as pain control and physical therapy, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Understanding the implications of drug-induced osteonecrosis is crucial for healthcare providers, as early recognition and intervention can significantly improve patient outcomes.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with hip pain after long-term corticosteroid use.
Ensure that the site of osteonecrosis is clearly documented to avoid coding errors.
Comprehensive medication history, including dosage and duration of therapy.
Patients with autoimmune diseases on immunosuppressive therapy developing bone pain.
Consider the potential for multiple drug interactions and their impact on bone health.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and the joint involved.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common drugs include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's important to document any relevant medication history when coding.
