Osteonecrosis due to drugs, right hand
ICD-10 M87.141 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, right hand.
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 M87.141, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, or other medications that may compromise blood flow to the bone. The right hand is specified, indicating that the necrosis affects the bones in this particular area, which may include the carpals, metacarpals, or phalanges. Symptoms often include pain, swelling, and limited range of motion in the affected hand. Diagnosis typically involves imaging studies such as X-rays or MRI to visualize the extent of bone damage. Treatment options may vary from conservative management, including pain relief and physical therapy, to surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Understanding the underlying cause, particularly the role of medication, is crucial for effective management and prevention of further complications.
Detailed patient history, including medication use, imaging results, and treatment plans.
Patients presenting with pain in the right hand after corticosteroid therapy.
Orthopedic surgeons must document the extent of bone involvement and any surgical interventions performed.
Comprehensive medication history and assessment of underlying rheumatologic conditions.
Patients with autoimmune disorders receiving long-term corticosteroid treatment.
Rheumatologists should emphasize the relationship between drug therapy and osteonecrosis in their notes.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and the specific joint involved.
Orthopedic specialists should note the patient's history of drug use.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's important to document any relevant medication history when coding.
