Osteonecrosis due to drugs of left carpus
ICD-10 M87.138 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs of left carpus.
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 M87.138, the osteonecrosis is specifically attributed to the use of certain medications, which can disrupt blood flow to the bone. The left carpus, comprising the eight small bones in the wrist, is particularly susceptible to this condition due to its vascular supply. Common drugs associated with osteonecrosis include corticosteroids and bisphosphonates. Patients may present with pain, swelling, and limited range of motion in the wrist. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Treatment options may include medication adjustments, physical therapy, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition. Early detection and management are crucial to prevent further joint deterioration and maintain function.
Detailed notes on patient history, imaging results, and treatment plans.
Patients presenting with wrist pain after corticosteroid therapy or with a history of bisphosphonate use.
Ensure clear documentation of the relationship between drug use and osteonecrosis.
Comprehensive medication history and assessment of underlying conditions.
Patients with autoimmune disorders on long-term corticosteroids presenting with joint pain.
Document the rationale for medication use and any changes in therapy.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and any medications administered.
Orthopedic specialists should ensure clear documentation of joint involvement.
Corticosteroids and bisphosphonates are the most commonly associated medications with osteonecrosis. Other drugs, such as certain chemotherapy agents, may also contribute.
