Other secondary osteonecrosis, unspecified shoulder
ICD-10 M87.319 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, unspecified shoulder.
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 M87.319, the osteonecrosis is secondary, meaning it is a result of another underlying condition or factor, such as trauma, corticosteroid use, or excessive alcohol consumption. The unspecified shoulder designation indicates that the specific anatomical location within the shoulder joint is not detailed. This condition can lead to severe pain, limited range of motion, and eventual joint collapse if not addressed. Patients may present with symptoms such as shoulder pain, stiffness, and swelling. Diagnosis typically involves imaging studies like MRI or X-rays to assess bone integrity and blood flow. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition. Understanding the underlying causes and appropriate management strategies is crucial for effective treatment and recovery.
Detailed clinical notes on the patient's history, physical examination findings, imaging results, and treatment plans.
Patients presenting with shoulder pain and limited mobility, often following corticosteroid therapy or trauma.
Ensure that the documentation clearly states the cause of osteonecrosis and the specific shoulder joint affected.
Comprehensive assessment of systemic conditions that may contribute to osteonecrosis, including autoimmune disorders.
Patients with a history of systemic lupus erythematosus or other rheumatologic conditions presenting with joint pain.
Document any relevant laboratory findings and treatment history that may influence the diagnosis.
Used when evaluating shoulder pain that may be due to osteonecrosis.
Document the reason for the procedure and findings.
Orthopedic surgeons should ensure that the clinical rationale for the procedure is clearly documented.
Primary osteonecrosis occurs without an identifiable cause, while secondary osteonecrosis is due to underlying conditions such as trauma, corticosteroid use, or other medical issues.