Idiopathic aseptic necrosis of left carpus
ICD-10 M87.038 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of left carpus.
Idiopathic aseptic necrosis of the left carpus is a condition characterized by the death of bone tissue due to a lack of blood supply, specifically affecting the carpal bones in the wrist. This condition is termed 'idiopathic' because the exact cause remains unknown, although it may be associated with factors such as trauma, corticosteroid use, or excessive alcohol consumption. The necrosis leads to pain, swelling, and limited range of motion in the wrist, which can significantly impact daily activities. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage and to rule out other conditions like osteomyelitis or fractures. Treatment options may include conservative management with rest and immobilization, or surgical interventions such as core decompression or bone grafting in more severe cases. Understanding the nuances of this condition is crucial for accurate coding and appropriate management.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with wrist pain, limited mobility, and history of corticosteroid use.
Ensure clear documentation of the idiopathic nature and exclusion of other causes of necrosis.
Comprehensive imaging reports detailing findings related to bone integrity and blood supply.
Imaging studies requested for wrist pain with suspected osteonecrosis.
Accurate interpretation of imaging is crucial for supporting the diagnosis.
Used for pain management in patients with wrist pain due to necrosis.
Document the indication for the procedure and any imaging findings.
Orthopedic specialists may perform this procedure for symptomatic relief.
The primary cause remains unknown, but it may be associated with factors such as trauma, corticosteroid use, or excessive alcohol consumption.
Diagnosis is typically made through imaging studies such as X-rays or MRI, which help assess the extent of bone damage.
Treatment options range from conservative management, including rest and immobilization, to surgical interventions like core decompression or bone grafting.
