Osteonecrosis due to drugs, right femur
ICD-10 M87.151 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, right femur.
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 M87.151, the osteonecrosis is specifically attributed to the use of certain medications, which can disrupt blood flow to the bone. The right femur is the specific site affected, leading to pain, limited mobility, and potential joint dysfunction. Common drugs associated with this condition include corticosteroids and bisphosphonates, which can interfere with the normal bone remodeling process. Clinically, patients may present with hip pain, difficulty bearing weight, and a history of prolonged medication use. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal characteristic changes in the bone structure. Treatment options may include conservative management, such as pain relief and physical therapy, or surgical interventions like core decompression or joint replacement in advanced cases. Understanding the etiology and management of drug-induced osteonecrosis is crucial for effective patient care and accurate coding.
Detailed history of medication use, imaging results, and treatment plans.
Patients presenting with hip pain and a history of corticosteroid use.
Ensure that the documentation clearly links the drug use to the osteonecrosis diagnosis.
Comprehensive medication lists, including duration and dosage.
Patients with autoimmune conditions requiring long-term steroid therapy.
Monitor for signs of osteonecrosis in patients on long-term corticosteroids.
Performed in cases of severe osteonecrosis when conservative treatment fails.
Operative report detailing the indication for surgery and preoperative imaging.
Orthopedic surgeons must document the extent of necrosis and any prior treatments.
Corticosteroids and bisphosphonates are the most commonly associated medications with osteonecrosis, particularly in long-term use.
