ICD-10-CM Billable Code

M87.111

Osteonecrosis due to drugs, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Osteonecrosis, also known as avascular necrosis, occurs when blood flow to a bone is disrupted, causing the bone tissue to die. When this condition is linked to drug use, it can develop as a side effect of certain medications. Specifically, osteonecrosis in the right shoulder due to drugs is a serious condition that affects the bones of the shoulder joint, leading to pain and impaired mobility. Recognizing the causes, symptoms, and treatment options can help in managing this condition effectively.

Causes & Symptoms

Clinical Causes: Use of corticosteroids, especially long-term or high-dose therapy Use of certain immunosuppressive medications High alcohol intake, which can exacerbate bone fragility Exposure to chemotherapy drugs that can impair blood flow and bone health Drug-induced vascular damage leading to compromised blood supply to the shoulder bones

Key Symptoms: Persistent shoulder pain that worsens with activity Limited range of motion in the right shoulder Swelling or tenderness around the shoulder joint Stiffness and difficulty performing daily activities involving shoulder movement Possible weakness in the shoulder muscles

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical evaluation and imaging studies. Medical professionals may recommend the following:

Treatment Protocols: Managing osteonecrosis due to drugs of the right shoulder involves several strategies aimed at relieving symptoms, halting progression, and restoring mobility:

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 M87.111 a billable ICD-10 code?
Yes, M87.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M87.111?
Clinical documentation must specify the nature of Osteonecrosis due to drugs, right shoulder and any associated comorbidities for accurate reporting.

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