Idiopathic aseptic necrosis of left femur
ICD-10 M87.052 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of left femur.
Idiopathic aseptic necrosis of the left 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 is often 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, limited mobility, and potential long-term complications such as osteoarthritis. Diagnosis typically involves imaging studies such as MRI or X-rays, which reveal changes in the bone structure. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or total hip replacement in advanced 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 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 unexplained hip pain.
Radiologists should provide clear descriptions of findings to support the diagnosis of idiopathic necrosis.
Performed in cases of severe osteonecrosis when conservative treatment fails.
Operative reports detailing the procedure and indication for surgery.
Orthopedic surgeons should document the severity of the condition and previous treatments attempted.
Common treatments include conservative management with pain relief and physical therapy, as well as surgical options like core decompression or total hip replacement, depending on the severity of the condition.
