Osteonecrosis due to drugs, left finger(s)
ICD-10 M87.145 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, left finger(s).
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 M87.145, this condition is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, or other medications that may compromise blood flow to the bone. The left finger(s) indicates that the necrosis is localized to the bones of the fingers on the left hand. Patients may present with pain, swelling, and limited range of motion in the affected fingers. The condition can lead to joint dysfunction and may require surgical intervention, such as joint replacement or bone grafting, if not managed appropriately. The diagnosis of osteonecrosis is typically confirmed through imaging studies, such as MRI or X-rays, which can reveal changes in bone density and structure. Understanding the etiology, particularly the role of pharmacological agents, is crucial for effective management and prevention of further complications.
Detailed patient history, imaging results, and treatment plans.
Patients presenting with pain in the fingers after corticosteroid therapy.
Orthopedic surgeons must document the specific drugs used and their duration.
Comprehensive medication history and assessment of joint function.
Patients with autoimmune disorders receiving long-term steroid therapy.
Rheumatologists should monitor for signs of osteonecrosis in patients on high-dose steroids.
Used for pain management in patients with osteonecrosis.
Document the indication for the procedure and the specific joint involved.
Orthopedic specialists should ensure that the procedure is justified based on the patient's condition.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It is important to document any relevant medication history when coding.