Osteonecrosis due to drugs, unspecified toe(s)
ICD-10 M87.179 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, unspecified toe(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 M87.179, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications that may compromise blood flow to the bones. This condition can lead to severe pain, limited mobility, and potential complications such as fractures or joint collapse. The unspecified nature of the toe(s) indicates that the exact location of the osteonecrosis within the toe region is not specified, which can complicate treatment and management. Clinically, patients may present with localized pain, swelling, and tenderness in the affected toe(s), and imaging studies such as X-rays or MRI may be required for diagnosis. Treatment options may include medication adjustments, physical therapy, or surgical interventions depending on the severity and progression of the disease. Understanding the implications of drug-induced osteonecrosis is crucial for healthcare providers, as it can significantly impact patient quality of life and necessitate careful monitoring and management.
Detailed history of medication use, imaging results, and clinical findings.
Patients presenting with pain in the toe(s) after starting corticosteroids or other medications.
Orthopedic surgeons must document the extent of necrosis and any surgical interventions performed.
Comprehensive medication history and assessment of underlying conditions.
Patients with autoimmune disorders on long-term corticosteroid therapy developing toe pain.
Rheumatologists should consider the impact of systemic diseases on bone health.
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 clinical findings.
Common causes include long-term use of corticosteroids, bisphosphonates, and certain chemotherapy agents, which can impair blood flow to the bones.
