ICD-10-CM Billable Code

M90.552

Osteonecrosis in diseases classified elsewhere, left thigh

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 it affects the left thigh, it can lead to joint pain, limited mobility, and eventual joint destruction if not managed appropriately. The ICD-10 code M90.552 specifies osteonecrosis located specifically in the left thigh, often linked with other underlying diseases or conditions.

Causes & Symptoms

Clinical Causes: Trauma or injury to the bone or blood vessels Chronic use of high-dose corticosteroids Excessive alcohol consumption Certain medical conditions such as sickle cell disease, gout, or autoimmune disorders Blood disorders that impair blood flow Previous radiation therapy Certain lipid disorders that affect blood flow Decompression sickness (such as in divers)

Key Symptoms: Dull or throbbing pain in the affected thigh or groin Pain worsening with weight-bearing activity Limited range of motion in the hip joint Weakness or stiffness in the thigh or hip Possible swelling around the joint In advanced stages, joint collapse and deformity

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of medical history review, physical examination, and imaging tests. Imaging techniques are crucial to confirm osteonecrosis and assess its extent:

Treatment Protocols: The management of osteonecrosis focuses on relieving symptoms, modifying activities to prevent progression, and preserving joint function. Treatment options 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 M90.552 a billable ICD-10 code?
Yes, M90.552 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M90.552?
Clinical documentation must specify the nature of Osteonecrosis in diseases classified elsewhere, left thigh and any associated comorbidities for accurate reporting.

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