Osteonecrosis due to drugs, left ankle
ICD-10 M87.172 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, left 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 M87.172, 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 left 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 assess bone integrity and identify necrotic areas. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition and the extent of bone damage.
Detailed history of medication use, imaging results, and treatment plans.
Patients presenting with joint pain and a history of corticosteroid use.
Orthopedic surgeons must ensure that the diagnosis is clearly linked to the treatment provided, especially if surgical intervention is planned.
Comprehensive assessment of underlying conditions and medication history.
Patients with autoimmune disorders on long-term steroid therapy presenting with joint symptoms.
Rheumatologists should document the rationale for medication use and any potential side effects leading to osteonecrosis.
Used when performing joint injections for pain management in 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 essential to document any relevant medication history when coding M87.172.
