Osteonecrosis due to previous trauma, left toe(s)
ICD-10 M87.278 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, left toe(s).
Osteonecrosis, also known as avascular necrosis, occurs when blood supply to a bone is disrupted, leading to bone death. In the case of M87.278, the osteonecrosis is specifically attributed to previous trauma affecting the left toe(s). This condition can arise from various traumatic events, such as fractures, dislocations, or severe contusions that compromise the vascular supply to the bone. Clinically, patients may present with localized pain, swelling, and limited range of motion in the affected toe(s). Over time, if left untreated, osteonecrosis can lead to joint collapse and significant functional impairment. Diagnosis typically involves imaging studies, such as X-rays or MRI, to assess the extent of bone damage and to rule out other conditions like osteomyelitis, which is an infection of the bone that can mimic osteonecrosis symptoms. Treatment options may include conservative management, such as rest and analgesics, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition.
Detailed history of trauma, imaging studies, and treatment plans.
Patients presenting with pain in the toe following an injury, requiring surgical intervention.
Ensure that the documentation clearly states the relationship between trauma and osteonecrosis.
Comprehensive imaging reports that detail findings consistent with osteonecrosis.
Imaging studies performed to evaluate suspected osteonecrosis after trauma.
Radiologists should include specific notes on the vascular status of the bone.
Used when joint aspiration is performed to relieve pain associated with osteonecrosis.
Document the indication for the procedure and the findings.
Orthopedic specialists should ensure that the procedure is linked to the diagnosis.
The primary cause of osteonecrosis in this code is previous trauma that disrupts blood supply to the affected bone, leading to bone death.
