Osteonecrosis due to previous trauma, unspecified ankle
ICD-10 M87.273 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, unspecified ankle.
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 M87.273, the osteonecrosis is specifically attributed to previous trauma affecting the ankle region. This condition can arise after fractures, dislocations, or other significant injuries that compromise the vascular supply to the bone. The ankle joint, being a weight-bearing joint, is particularly susceptible to the effects of osteonecrosis, leading to pain, limited mobility, and potential joint degeneration. Clinically, patients may present with symptoms such as localized pain, swelling, and difficulty bearing weight on the affected ankle. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure indicative of necrosis. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or joint replacement in advanced cases. Understanding the underlying cause of osteonecrosis is crucial for effective management and prevention of further complications.
Detailed history of trauma, imaging results, and treatment plans.
Post-traumatic osteonecrosis following ankle fractures or sprains.
Ensure that the trauma is clearly documented and linked to the osteonecrosis.
Clear imaging reports indicating the presence of osteonecrosis.
MRI findings showing bone marrow edema and necrosis.
Radiologists should specify the location and extent of necrosis in reports.
Used for pain management in osteonecrosis cases.
Document the indication for the procedure and the joint involved.
Orthopedic specialists should ensure proper coding for joint injections.
The primary cause of osteonecrosis coded as M87.273 is previous trauma to the ankle, which disrupts blood flow to the bone.