Idiopathic aseptic necrosis of bone, multiple sites
ICD-10 M87.09 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of bone, multiple sites.
Idiopathic aseptic necrosis of bone, also known as osteonecrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. This condition can occur in multiple sites within the body, leading to significant pain and functional impairment. The etiology of idiopathic aseptic necrosis remains unclear, but it is often associated with risk factors such as corticosteroid use, alcohol consumption, and certain medical conditions like sickle cell disease or lupus. Patients typically present with joint pain, limited range of motion, and may experience joint collapse if not treated promptly. Diagnosis is primarily made through imaging studies, including MRI, which can reveal early changes in bone marrow and the presence of necrotic areas. Treatment options vary based on the stage of the disease and may include conservative management, surgical interventions such as core decompression, or joint replacement in advanced cases. The condition poses a risk for complications such as osteomyelitis if secondary infections occur, making accurate coding essential for appropriate management and reimbursement.
Detailed history of symptoms, imaging results, and treatment plans.
Patients presenting with joint pain and imaging showing necrotic changes.
Ensure documentation reflects the idiopathic nature and multiple sites involved.
Comprehensive assessment of underlying conditions and risk factors.
Patients with autoimmune diseases presenting with joint pain.
Document any relevant systemic conditions that may contribute to osteonecrosis.
Used for joint pain management in patients with osteonecrosis.
Document the joint involved, reason for aspiration/injection, and any imaging results.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common causes include corticosteroid use, excessive alcohol consumption, and certain medical conditions such as lupus or sickle cell disease. However, in idiopathic cases, the exact cause remains unknown.
