Other secondary osteonecrosis, unspecified humerus
ICD-10 M87.329 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, unspecified humerus.
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 M87.329, the osteonecrosis is secondary, meaning it arises as a complication of another underlying condition or factor, such as corticosteroid use, trauma, or systemic diseases like lupus or sickle cell disease. The unspecified humerus indicates that the specific location of the osteonecrosis within the humerus is not detailed. Patients may present with joint pain, limited range of motion, and potential joint collapse if the condition progresses. 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 physical therapy and pain management, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Accurate coding is essential for proper treatment reimbursement and tracking of patient outcomes.
Detailed clinical notes on patient history, imaging results, and treatment plans.
Patients with a history of corticosteroid use presenting with shoulder pain.
Ensure that all underlying conditions contributing to osteonecrosis are documented.
Comprehensive assessment of systemic diseases that may lead to osteonecrosis.
Patients with autoimmune disorders presenting with joint pain.
Document the relationship between systemic conditions and osteonecrosis.
Used when surgical intervention is required for osteonecrosis.
Detailed operative notes and pre-operative imaging.
Orthopedic documentation must clearly outline the necessity for surgery.
Primary osteonecrosis occurs without an identifiable cause, while secondary osteonecrosis is due to underlying conditions such as trauma, corticosteroid use, or systemic diseases.