Other secondary osteonecrosis, unspecified finger(s)
ICD-10 M87.346 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, unspecified finger(s).
M87.346 refers to a condition characterized by the death of bone tissue in the fingers due to a lack of blood supply, which is classified as secondary osteonecrosis. This condition can arise from various underlying factors, including trauma, corticosteroid use, excessive alcohol consumption, or systemic diseases such as lupus or sickle cell disease. The clinical presentation may include pain, swelling, and limited range of motion in the affected fingers. Diagnosis typically involves imaging studies such as X-rays or MRI to assess bone integrity and identify necrotic areas. Treatment options may vary based on the severity of the condition and can include conservative management, such as pain relief and physical therapy, or surgical interventions like core decompression or joint replacement. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed history of the patient's condition, imaging results, and treatment plans.
Patients presenting with pain in the fingers after corticosteroid therapy or trauma.
Ensure all secondary causes are documented to support the use of M87.346.
Comprehensive assessment of systemic diseases that may contribute to osteonecrosis.
Patients with autoimmune disorders presenting with finger pain and swelling.
Document the relationship between systemic conditions and osteonecrosis.
Used when joint aspiration is performed to relieve pain from osteonecrosis.
Document the indication for aspiration and findings.
Orthopedic specialists should ensure clear documentation of the procedure's necessity.
Common causes include corticosteroid use, trauma, excessive alcohol consumption, and systemic diseases such as lupus or sickle cell disease.
