Other secondary osteonecrosis, right femur
ICD-10 M87.351 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, right femur.
M87.351 refers to osteonecrosis of the right femur that occurs as a secondary condition due to various underlying factors. Osteonecrosis, also known as avascular necrosis, is characterized by the death of bone tissue due to a lack of blood supply. This condition can arise from multiple etiologies, including trauma, corticosteroid use, alcohol abuse, and certain medical conditions such as sickle cell disease or systemic lupus erythematosus. In the case of secondary osteonecrosis, the underlying cause must be identified and documented, as it significantly influences treatment options and prognosis. Patients may present with joint pain, limited range of motion, and, in advanced cases, joint collapse. Diagnosis typically involves imaging studies such as MRI or X-rays to assess the extent of bone damage. Treatment options may include conservative management, such as physical therapy and pain management, or surgical interventions like core decompression or total hip arthroplasty, depending on the severity of the condition. Accurate coding of M87.351 is crucial for appropriate reimbursement and to reflect the complexity of the patient's condition.
Detailed notes on patient history, imaging results, and treatment plans.
Patients presenting with hip pain and a history of corticosteroid use.
Ensure all relevant comorbidities are documented to support the diagnosis.
Comprehensive assessment of systemic conditions contributing to osteonecrosis.
Patients with autoimmune diseases presenting with joint pain.
Document the relationship between the systemic condition and osteonecrosis.
Performed for advanced osteonecrosis of the right femur.
Operative report detailing the procedure and indication.
Orthopedic surgeons must document the severity and impact of osteonecrosis.
Primary osteonecrosis occurs without an identifiable cause, while secondary osteonecrosis is due to underlying conditions such as trauma, corticosteroid use, or systemic diseases.
