Idiopathic aseptic necrosis of unspecified shoulder
ICD-10 M87.019 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of unspecified shoulder.
Idiopathic aseptic necrosis of the shoulder is a condition characterized by the death of bone tissue due to a lack of blood supply, without the presence of infection. This condition can lead to severe pain, limited range of motion, and eventual joint dysfunction. The etiology remains unclear, hence the term 'idiopathic.' Aseptic necrosis can occur in various locations, but when it affects the shoulder, it often involves the humeral head. Risk factors may include corticosteroid use, excessive alcohol consumption, and certain medical conditions such as lupus or sickle cell disease. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Treatment options may range from conservative management, including physical therapy and pain relief, to surgical interventions like joint replacement in advanced cases. The absence of infection distinguishes this condition from osteomyelitis, which is an infection of the bone, and highlights the importance of accurate diagnosis and coding.
Detailed imaging reports, treatment plans, and follow-up notes.
Patients presenting with shoulder pain and limited mobility, particularly after corticosteroid use.
Ensure clear documentation of the absence of infection and other potential causes of necrosis.
Comprehensive patient history, including autoimmune conditions and medication use.
Patients with systemic diseases presenting with joint pain and suspected necrosis.
Document any underlying conditions that may contribute to the development of aseptic necrosis.
Used when surgical intervention is required for necrosis.
Pre-operative assessment, imaging results, and surgical notes.
Orthopedic documentation must clearly outline the necessity for surgery.
The primary cause is often unknown, but factors such as corticosteroid use, alcohol consumption, and certain medical conditions may contribute.
