Osteonecrosis due to drugs
ICD-10 M87.1 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs.
Osteonecrosis due to drugs, also known as avascular necrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply, often precipitated by the use of certain medications. Commonly implicated drugs include corticosteroids, bisphosphonates, and certain chemotherapy agents. The condition can lead to severe pain, joint dysfunction, and ultimately, the collapse of the affected bone. Osteonecrosis can occur in various bones, but the hip, knee, and shoulder are frequently affected. The pathophysiology involves the disruption of blood flow to the bone, leading to cellular death and subsequent bone remodeling failure. Patients may present with joint pain, limited range of motion, and swelling. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Early detection is crucial to prevent further complications, including osteomyelitis, which is an infection of the bone that can arise from compromised bone integrity. Treatment options may include medication adjustments, physical therapy, or surgical interventions such as core decompression or joint replacement.
Detailed documentation of the patient's history, including medication use, imaging results, and clinical findings.
Patients presenting with hip or knee pain after corticosteroid therapy.
Orthopedic surgeons should ensure that the cause of osteonecrosis is clearly documented to support the use of M87.1.
Comprehensive records of autoimmune conditions and treatments that may contribute to osteonecrosis.
Patients with rheumatoid arthritis on long-term corticosteroids developing joint pain.
Rheumatologists should document the duration and dosage of corticosteroid therapy to establish a clear link to osteonecrosis.
Used for pain management in patients with osteonecrosis.
Document the joint involved and the reason for the procedure.
Orthopedic specialists should ensure that the procedure is justified based on the patient's condition.
Common drugs include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's essential to document any relevant medication history when coding M87.1.
