Osteonecrosis due to drugs, unspecified humerus
ICD-10 M87.129 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, unspecified humerus.
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 M87.129, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, alcohol, and other medications that impair blood flow to the bone. The humerus, being the long bone of the upper arm, can be affected, leading to pain, limited mobility, and potential joint dysfunction. Patients may present with symptoms such as shoulder pain, swelling, and decreased range of motion. Diagnosis typically involves imaging studies such as MRI or X-rays to assess the extent of bone damage. Treatment options may include medication, physical therapy, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Understanding the underlying causes, including the specific drugs involved, is crucial for effective management and coding.
Detailed patient history, including medication use, imaging results, and treatment plans.
Patients presenting with shoulder pain and a history of corticosteroid use.
Ensure that the documentation clearly links the drug use to the osteonecrosis diagnosis.
Comprehensive assessment of underlying conditions and medication history.
Patients with autoimmune disorders on long-term steroid therapy developing osteonecrosis.
Document any comorbid conditions that may contribute to the risk of osteonecrosis.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and any imaging performed.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common drugs associated with osteonecrosis include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's essential to document any relevant medication history.
