Osteonecrosis due to drugs, right shoulder
ICD-10 M87.111 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, right shoulder.
Osteonecrosis, also known as avascular necrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. In the case of M87.111, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications that may compromise blood flow to the bone. The right shoulder is the affected site, which can lead to significant pain, limited range of motion, and functional impairment. Patients may present with symptoms such as shoulder pain that worsens with activity, stiffness, and swelling. Diagnosis typically involves imaging studies such as X-rays or MRI to assess bone integrity and detect necrotic areas. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition. Understanding the etiology, clinical presentation, and management strategies is crucial for accurate coding and effective patient care.
Detailed history of medication use, imaging studies, and treatment plans.
Patients presenting with shoulder pain and a history of corticosteroid use.
Ensure clear documentation of the relationship between drug use and osteonecrosis.
Comprehensive medication history, including duration and dosage of drugs that may cause osteonecrosis.
Patients with autoimmune diseases on long-term corticosteroid therapy presenting with joint pain.
Document any underlying rheumatologic conditions that may contribute to the risk of osteonecrosis.
Used when evaluating shoulder pain suspected to be due to osteonecrosis.
Document indications for the procedure and findings.
Orthopedic surgeons should ensure clear linkage between diagnosis and procedure.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It is important to document any relevant medication history when coding.
