Idiopathic aseptic necrosis of right femur
ICD-10 M87.051 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of right femur.
Idiopathic aseptic necrosis of the right femur is a condition characterized by the death of bone tissue due to a lack of blood supply, specifically affecting the femur. This condition is termed 'idiopathic' because the exact cause is unknown, although it may be associated with risk factors such as corticosteroid use, alcohol consumption, and certain medical conditions like sickle cell disease or lupus. The necrosis leads to bone collapse and joint dysfunction, often resulting in pain and limited mobility. Patients typically present with hip pain that may radiate to the groin or knee, and symptoms can worsen with weight-bearing activities. Diagnosis is primarily made through imaging studies, including X-rays and MRI, which reveal changes in bone density and structure. Treatment options vary based on the stage of the disease and may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or total hip arthroplasty in advanced cases. Early diagnosis and intervention are crucial to prevent further joint damage and improve patient outcomes.
Detailed clinical notes on symptoms, imaging results, and treatment plans.
Patients presenting with hip pain, limited range of motion, and imaging findings suggestive of necrosis.
Ensure clear documentation of the idiopathic nature and any risk factors that may contribute to the condition.
Comprehensive imaging reports detailing findings consistent with osteonecrosis.
Imaging studies performed for patients with hip pain to evaluate for necrosis.
Accurate interpretation of imaging studies is critical for proper coding.
Used for patients with advanced necrosis requiring joint replacement.
Operative reports detailing the procedure and indication.
Orthopedic surgeons must document the severity of necrosis and previous treatments.
Common causes include corticosteroid use, alcohol abuse, and certain medical conditions, although in idiopathic cases, no specific cause can be identified.
