Other secondary osteonecrosis, unspecified femur
ICD-10 M87.353 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, unspecified femur.
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 M87.353, the osteonecrosis is secondary, meaning it arises as a complication of another underlying condition or factor, such as corticosteroid use, alcohol abuse, or certain medical conditions like lupus or sickle cell disease. The unspecified femur indicates that the specific site of the osteonecrosis within the femur is not detailed. Patients may present with joint pain, limited range of motion, and in advanced cases, joint collapse. 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 such as core decompression or joint replacement, depending on the severity of the condition. Understanding the etiology and management of secondary osteonecrosis is crucial for effective treatment and coding.
Detailed history of the patient's condition, imaging results, and treatment plans.
Patients presenting with hip or knee pain, particularly those with a history of corticosteroid use or other risk factors.
Ensure that all contributing factors to osteonecrosis are documented to support the use of M87.353.
Comprehensive assessment of autoimmune conditions that may contribute to osteonecrosis.
Patients with systemic lupus erythematosus or other rheumatologic disorders presenting with joint pain.
Document the relationship between the underlying condition and the development of osteonecrosis.
Used for joint pain management in patients with osteonecrosis.
Document the indication for the procedure and any imaging findings.
Orthopedic specialists should ensure that the procedure is linked to the diagnosis of osteonecrosis.
Common causes include long-term corticosteroid use, excessive alcohol consumption, trauma, and certain medical conditions such as lupus or sickle cell disease.