M87.152
Osteonecrosis due to drugs, left femur
Clinical Classification Guidelines
Medical Intelligence & Overview
Osteonecrosis, also known as avascular necrosis, is a condition where bone tissue dies due to a lack of blood supply. When this occurs in the femur—the bone in the thigh—the condition can cause pain and disability. Specifically, ICD-10 code M87.152 refers to osteonecrosis of the left femur caused by drug-related factors. This condition typically develops as a complication from certain medications or drug therapies, leading to the deterioration of the bone structure and joint integrity over time.
Causes & Symptoms
Clinical Causes: Prolonged use of corticosteroids (e.g., prednisone) High-dose or long-term use of certain medications like chemotherapy drugs Use of medications that impair blood flow or cause blood clotting abnormalities Exposure to alcohol or substances that affect bone health (if related to medication effects) Certain autoimmune diseases treated with immunosuppressive drugs Other iatrogenic factors resulting from medical treatment
Key Symptoms: Gradual onset of hip pain, often worsening with activity Limited range of motion in the affected hip Pain that may radiate to the groin, thigh, or buttocks Cracking or clicking sensation in the joint Weakness or stiffness around the joint In severe cases, joint collapse or bone fracture
Diagnostic & Treatment
Diagnosis Path: Medical history evaluation focusing on medication use and symptom timeline Physical examination assessing joint pain, swelling, and mobility Imaging studies such as X-rays to identify bone changes and joint deterioration Magnetic resonance imaging (MRI) for early detection of bone death and cartilage damage Bone scans and laboratory tests as needed to rule out other causes
Treatment Protocols: Discontinuation or reduction of the causative medication under medical supervision Pain management with medications such as NSAIDs Physical therapy to maintain joint function and strengthen surrounding muscles Core decompression procedures to relieve intraosseous pressure Osteotomy to realign the bone and delay joint degeneration Joint replacement surgery (hip replacement) in advanced cases Lifestyle modifications including activity restriction and weight management
Clinical Advice & FAQs
Billing Guidance
Is M87.152 a billable ICD-10 code?
Yes, M87.152 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M87.152?
Clinical documentation must specify the nature of Osteonecrosis due to drugs, left femur and any associated comorbidities for accurate reporting.
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