Other secondary osteonecrosis, right hand
ICD-10 M87.341 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, right hand.
M87.341 refers to a specific type of osteonecrosis that occurs in the right hand, classified as secondary osteonecrosis. This condition arises when blood supply to the bone is disrupted, leading to bone tissue death. Secondary osteonecrosis can result from various factors, including trauma, corticosteroid use, excessive alcohol consumption, or underlying medical conditions such as sickle cell disease or systemic lupus erythematosus. In the case of the right hand, the affected bones may include the metacarpals or phalanges, which can lead to pain, swelling, and functional impairment. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions like core decompression or bone grafting, depending on the severity of the condition. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with pain in the hand, history of corticosteroid use, or previous trauma.
Ensure that all contributing factors to osteonecrosis are documented, including any comorbidities.
Comprehensive assessment of systemic conditions that may contribute to osteonecrosis.
Patients with autoimmune diseases presenting with joint pain and potential osteonecrosis.
Document the relationship between systemic diseases and osteonecrosis to support coding.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and the patient's response.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Primary osteonecrosis occurs without any identifiable cause, while secondary osteonecrosis is associated with specific risk factors such as trauma, medications, or systemic diseases.