Other secondary osteonecrosis, left fibula
ICD-10 M87.365 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, left 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 M87.365, the osteonecrosis is secondary, meaning it arises as a complication of another underlying condition or factor, such as corticosteroid use, alcohol abuse, or trauma. The left fibula is specifically affected, which is significant as the fibula plays a crucial role in weight-bearing and stability of the ankle and lower leg. Patients may present with pain, swelling, and limited mobility in the affected area. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or bone grafting, depending on the severity of the condition. Understanding the etiology and management of secondary osteonecrosis is essential for effective treatment and rehabilitation.
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 the documentation clearly states the relationship between the underlying condition and the osteonecrosis.
Comprehensive imaging reports that detail findings consistent with osteonecrosis.
Imaging studies performed for patients with suspected osteonecrosis.
Radiologists should correlate imaging findings with clinical history to support accurate coding.
Used when a patient with osteonecrosis requires joint aspiration for diagnostic or therapeutic purposes.
Document the reason for the procedure, findings, and any therapeutic interventions performed.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Primary osteonecrosis occurs without an identifiable cause, while secondary osteonecrosis is due to underlying conditions such as trauma, corticosteroid use, or other medical issues.
