M87.142
Osteonecrosis due to drugs, left hand
Clinical Classification Guidelines
Medical Intelligence & Overview
Osteonecrosis, also known as avascular necrosis, is a condition where bone tissue dies due to decreased blood flow. When this occurs because of medication use, it is classified as drug-induced osteonecrosis. Specifically, the ICD-10 code M87.142 refers to osteonecrosis affecting the left hand resulting from drug use. This condition can significantly impact hand function and quality of life if not properly managed. It commonly affects the small bones of the hand but can involve other bones as well. Understanding the causes, symptoms, diagnosis, and treatment options can help in managing this condition effectively.
Causes & Symptoms
Clinical Causes: Long-term use of corticosteroids or certain immunosuppressive drugs High-dose or prolonged use of bisphosphonates, often used to treat osteoporosis Use of chemotherapy agents that impair blood flow to bones Excessive alcohol consumption in conjunction with medication use Certain genetic predispositions that make bones more susceptible to ischemia Conditions that impair blood circulation, aggravated by drug effects
Key Symptoms: Sudden or gradually worsening pain in the affected hand, especially during movement Limited range of motion or stiffness in the fingers or wrist Swelling, tenderness, or warmth around the affected bones Changes in skin color or temperature over the hand area Weakness or numbness in the fingers or hand Bone collapse or deformity in advanced stages
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a combination of medical history, physical examination, and imaging studies. The healthcare provider might inquire about medication history and symptom progression. Diagnostic tests include:
Treatment Protocols: Managing osteonecrosis due to drugs focuses on alleviating pain, preventing further bone damage, and maintaining hand function. Treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is M87.142 a billable ICD-10 code?
Yes, M87.142 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M87.142?
Clinical documentation must specify the nature of Osteonecrosis due to drugs, left hand and any associated comorbidities for accurate reporting.
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