Other secondary osteonecrosis, right fibula
ICD-10 M87.364 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, right fibula.
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 M87.364, the osteonecrosis is secondary, meaning it is a consequence of another underlying condition or factor, such as trauma, corticosteroid use, or certain medical conditions like sickle cell disease or systemic lupus erythematosus. The right fibula, a long bone located in the lower leg, is specifically affected in this diagnosis. Patients may present with pain, swelling, and limited mobility in the affected leg. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as bone grafting or joint replacement, depending on the severity of the condition. Accurate coding is essential for proper treatment planning and reimbursement.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with pain in the lower leg, history of corticosteroid use, or previous trauma.
Ensure that all relevant comorbidities are documented to support the diagnosis of secondary osteonecrosis.
Comprehensive assessment of systemic conditions that may contribute to osteonecrosis, including lab results and treatment history.
Patients with autoimmune diseases presenting with joint pain and risk factors for osteonecrosis.
Document the relationship between the systemic condition and the development of osteonecrosis.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and the joint involved.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common causes include corticosteroid use, trauma, alcohol abuse, and certain medical conditions such as sickle cell disease and systemic lupus erythematosus.
