Osteonecrosis due to drugs, right ankle
ICD-10 M87.171 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, right ankle.
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 M87.171, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications known to affect bone health. The right ankle is the affected site, which can lead to significant pain, limited mobility, and potential joint collapse if not managed appropriately. Patients may present with symptoms such as joint pain, swelling, and stiffness, often exacerbated by weight-bearing activities. Diagnosis typically involves imaging studies such as MRI or X-rays to visualize bone changes. Treatment options may include medication adjustments, physical therapy, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Understanding the underlying cause, particularly the role of pharmacological agents, is crucial for effective management and prevention of further complications.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with joint pain and a history of corticosteroid use.
Orthopedic surgeons must document the extent of bone damage and treatment plans thoroughly.
Comprehensive medication history, including dosages and duration of use.
Patients with autoimmune disorders on long-term steroid therapy presenting with joint issues.
Rheumatologists should consider the impact of systemic diseases on bone health.
Used when performing joint injections for pain management in osteonecrosis.
Document the reason for the injection, the site, and the medication used.
Orthopedic specialists often perform this procedure for symptomatic relief.
Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's important to document any relevant medication history when coding.