Other secondary osteonecrosis, tibia and fibula
ICD-10 M87.36 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, tibia and fibula.
M87.36 refers to osteonecrosis of the tibia and fibula that occurs as a secondary condition, often due to factors such as trauma, corticosteroid use, or underlying diseases like systemic lupus erythematosus or sickle cell disease. Osteonecrosis, also known as avascular necrosis, is characterized by the death of bone tissue due to a lack of blood supply. In the case of the tibia and fibula, this can lead to significant pain, limited mobility, and potential complications such as fractures or deformities. The condition may present with symptoms including localized pain, swelling, and tenderness in the affected area, and can be diagnosed through imaging studies such as MRI or X-rays. Treatment options vary based on the severity of the condition and may include conservative management, surgical intervention, or addressing the underlying cause of the osteonecrosis. Accurate coding is essential for appropriate treatment and reimbursement.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic pain in the lower leg, history of corticosteroid use, or previous trauma.
Orthopedic surgeons should document the specific location and extent of osteonecrosis, as well as any surgical interventions performed.
Comprehensive assessment of systemic conditions contributing to osteonecrosis, including lab results and treatment history.
Patients with autoimmune diseases presenting with joint pain and risk factors for osteonecrosis.
Rheumatologists should ensure that the relationship between systemic disease and osteonecrosis is clearly articulated in the documentation.
Used for joint pain management in patients with osteonecrosis.
Document the joint involved, reason for the procedure, and any imaging used.
Orthopedic specialists should ensure that the procedure is justified based on the patient's condition.
Common causes include corticosteroid use, trauma, alcohol abuse, and certain medical conditions such as lupus or sickle cell disease.
