Other secondary osteonecrosis, left shoulder
ICD-10 M87.312 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, left shoulder.
M87.312 refers to other secondary osteonecrosis affecting the left shoulder. Osteonecrosis, also known as avascular necrosis, occurs when blood supply to a bone is disrupted, leading to bone death. This condition can arise from various causes, including trauma, prolonged corticosteroid use, excessive alcohol consumption, and certain medical conditions such as lupus or sickle cell disease. In the case of the left shoulder, the humeral head is often affected, leading to pain, limited range of motion, and potential joint collapse if not treated. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions like core decompression or joint replacement in advanced cases. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking the incidence and outcomes of this condition in clinical practice.
Detailed imaging reports, treatment plans, and progress notes are essential for accurate coding.
Patients presenting with shoulder pain, limited range of motion, and a history of corticosteroid use.
Orthopedic surgeons should document the specific location and extent of osteonecrosis to support coding.
Comprehensive medical history, including autoimmune conditions and medication use.
Patients with systemic diseases like lupus presenting with joint pain and imaging findings suggestive of osteonecrosis.
Rheumatologists should note any contributing systemic conditions that may lead to secondary osteonecrosis.
Used when evaluating shoulder pain suspected to be due to osteonecrosis.
Document the reason for the procedure and findings.
Orthopedic surgeons should ensure imaging studies are reviewed prior to the procedure.
Common causes include corticosteroid use, alcohol abuse, trauma, and systemic diseases such as lupus and sickle cell disease.
Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage and confirm the diagnosis.
Treatment options range from conservative management, including pain relief and physical therapy, to surgical interventions like core decompression or joint replacement.
