Osteonecrosis due to previous trauma, left femur
ICD-10 M87.252 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, left 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 M87.252, the osteonecrosis is specifically attributed to previous trauma affecting the left femur. This condition often arises after fractures, dislocations, or other significant injuries that compromise the blood supply to the bone. The left femur, being a weight-bearing bone, is particularly susceptible to the complications of osteonecrosis, which can lead to severe pain, limited mobility, and eventual joint collapse if not addressed promptly. Clinically, patients may present with symptoms such as hip pain, groin pain, and difficulty bearing weight. Diagnosis typically involves imaging studies, including X-rays and MRI, which can reveal changes in bone density and structure. Treatment options may include conservative management, such as pain relief and physical therapy, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition and the extent of bone damage.
Detailed history of trauma, imaging results, and treatment plans.
Patients presenting with hip pain following a fracture or dislocation.
Ensure clear documentation of the timeline between trauma and onset of symptoms.
Imaging reports that clearly indicate the presence of osteonecrosis.
MRI findings showing bone marrow edema in the context of prior trauma.
Radiologists should provide detailed descriptions of imaging findings to support coding.
Performed in cases of severe osteonecrosis when conservative treatment fails.
Operative report detailing the procedure and indication.
Orthopedic surgeons should document the rationale for surgery.
The primary cause is previous trauma that disrupts blood supply to the left femur, leading to bone tissue death.
