ICD-10-CM Billable Code

M87.011

Idiopathic aseptic necrosis of right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Idiopathic aseptic necrosis of the right shoulder, classified under ICD-10 code M87.011, is a condition where the bone tissue in the shoulder gradually dies without an apparent infection or injury. This process, also known as osteonecrosis or avascular necrosis, results from a temporary or permanent loss of blood supply to the shoulder’s bones, leading to bone deterioration and joint problems. Over time, this can cause pain, stiffness, and decreased mobility, significantly impacting daily activities.

Causes & Symptoms

Clinical Causes: Unknown factors (idiopathic), with no clear reason identified Use of high-dose corticosteroids Excessive alcohol consumption Trauma or repeated injuries to the shoulder Certain medical conditions such as blood disorders (e.g., sickle cell disease, anemia) Radiation therapy Decompression sickness (the bends) Other metabolic or systemic diseases Rapid weight loss or certain medications

Key Symptoms: Gradual onset of shoulder pain, which may worsen with activity or movement Stiffness and reduced range of motion in the affected shoulder Weakness or muscle atrophy around the shoulder Tenderness when touching the shoulder Pain radiating down the arm or into the neck Swelling and warmth in some cases Symptoms may initially be intermittent but tend to become persistent as the condition progresses

Diagnostic & Treatment

Diagnosis Path: The process of diagnosing idiopathic aseptic necrosis of the right shoulder typically involves several steps:

Treatment Protocols: Management of idiopathic aseptic necrosis of the right shoulder aims to reduce pain, preserve joint function, and prevent further bone damage. Treatment options may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M87.011 a billable ICD-10 code?
Yes, M87.011 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M87.011?
Clinical documentation must specify the nature of Idiopathic aseptic necrosis of right shoulder and any associated comorbidities for accurate reporting.

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