Osteonecrosis due to drugs, unspecified shoulder
ICD-10 M87.119 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, unspecified 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 M87.119, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, alcohol, and certain chemotherapy agents. The shoulder is the affected site, although the code does not specify which part of the shoulder is involved. Patients may present with pain, limited range of motion, and functional impairment. The condition can lead to joint collapse and severe disability if not diagnosed and treated early. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage. Treatment options may include conservative management, such as physical therapy and pain management, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Understanding the underlying cause, particularly the role of medications, is crucial for effective management and prevention of further complications.
Detailed history of drug use, imaging results, and clinical findings.
Patients presenting with shoulder pain and a history of corticosteroid use.
Ensure that the documentation clearly links the drug use to the onset of symptoms.
Comprehensive medication history and assessment of joint function.
Patients with autoimmune disorders on long-term steroid therapy presenting with joint pain.
Consideration of other comorbidities that may affect bone health.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and any imaging studies performed.
Orthopedic specialists may perform this procedure to relieve symptoms.
Common causes include long-term use of corticosteroids, excessive alcohol consumption, trauma, and certain medical conditions such as sickle cell disease and lupus.
Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as X-rays or MRI to assess the extent of bone damage.
Treatment options may include conservative management like physical therapy and pain management, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition.
