Osteonecrosis due to previous trauma, tibia and fibula
ICD-10 M87.26 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, tibia and fibula.
Osteonecrosis of the tibia and fibula is a condition characterized by the death of bone tissue due to a lack of blood supply, often resulting from previous trauma such as fractures or dislocations. This condition can lead to severe pain, limited mobility, and potential joint dysfunction. The tibia and fibula are critical weight-bearing bones in the lower leg, and their necrosis can significantly impact a patient's quality of life. The pathophysiology involves the interruption of blood flow to the bone, leading to cellular death and subsequent structural collapse. Patients may present with symptoms such as localized pain, swelling, and tenderness, particularly during weight-bearing activities. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or joint replacement in advanced cases. Early diagnosis and intervention are crucial to prevent further complications and preserve function.
Detailed history of trauma, imaging results, and treatment plans.
Post-fracture complications, chronic pain management, surgical interventions.
Ensure clear documentation of the relationship between trauma and osteonecrosis.
Comprehensive imaging reports indicating necrotic changes.
MRI findings of osteonecrosis, differential diagnosis with other bone lesions.
Accurate interpretation of imaging to support coding.
Used for pain management in osteonecrosis cases.
Document the reason for the procedure and the joint involved.
Orthopedic specialists should ensure clear linkage between the procedure and the diagnosis.
The primary cause of osteonecrosis coded as M87.26 is previous trauma, which disrupts blood supply to the bone, leading to necrosis.
