Other secondary osteonecrosis of radius, ulna and carpus
ICD-10 M87.33 is a billable code used to indicate a diagnosis of other secondary osteonecrosis of radius, ulna and carpus.
M87.33 refers to a specific type of osteonecrosis affecting the radius, ulna, and carpal bones, which occurs as a secondary condition due to various underlying factors. Osteonecrosis, also known as avascular necrosis, is characterized by the death of bone tissue due to a lack of blood supply. This condition can lead to bone collapse, severe pain, and functional impairment. Secondary osteonecrosis can arise from multiple causes, including corticosteroid use, alcohol abuse, trauma, or systemic diseases such as lupus or sickle cell disease. The radius and ulna are the two long bones of the forearm, while the carpal bones are a group of eight small bones that make up the wrist. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage. Treatment options may include conservative management, such as pain relief and physical therapy, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Accurate coding is essential for appropriate treatment planning and reimbursement.
Detailed patient history, imaging results, and treatment plans must be documented.
Patients presenting with wrist pain, limited range of motion, or history of corticosteroid use.
Orthopedic surgeons should ensure that all relevant imaging studies are included in the documentation to support the diagnosis.
Comprehensive assessment of systemic conditions contributing to osteonecrosis.
Patients with autoimmune diseases presenting with joint pain and risk factors for osteonecrosis.
Rheumatologists should document the relationship between systemic disease and osteonecrosis clearly.
Used for pain management in patients with osteonecrosis.
Document the joint involved and the reason for the procedure.
Orthopedic specialists should ensure that the procedure is justified based on clinical findings.
Common causes include corticosteroid use, alcohol abuse, trauma, and systemic diseases such as lupus and sickle cell disease.
