Idiopathic aseptic necrosis of unspecified carpus
ICD-10 M87.039 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of unspecified carpus.
Idiopathic aseptic necrosis of the carpus 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 occur in various bones of the wrist (carpal bones) and is often associated with risk factors such as corticosteroid use, alcohol consumption, and certain medical conditions like sickle cell disease. The term 'idiopathic' indicates that the exact cause of the necrosis is unknown. Patients may present with pain, swelling, and limited range of motion in the wrist. 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 rest and physical therapy, or surgical interventions such as core decompression or bone grafting in more severe cases. The condition can lead to significant orthopedic complications if not addressed, including chronic pain and functional impairment.
Detailed clinical notes, imaging results, and treatment plans must be documented.
Patients presenting with wrist pain and limited mobility, requiring imaging to assess for necrosis.
Ensure clear documentation of the idiopathic nature and exclusion of other causes of necrosis.
Imaging reports must clearly indicate findings consistent with aseptic necrosis.
MRI or X-ray evaluations of wrist pain to rule out necrosis.
Accurate interpretation of imaging is crucial for proper coding.
Used when a patient with M87.039 requires joint aspiration for pain relief.
Document the indication for the procedure and the diagnosis.
Orthopedic specialists should ensure clear linkage between the diagnosis and the procedure.
The primary cause is often unknown, but it can be associated with risk factors such as corticosteroid use, alcohol consumption, and certain medical conditions.
Diagnosis typically involves clinical evaluation, imaging studies like X-rays or MRI, and exclusion of other conditions such as infections or trauma.
