M87.350
Other secondary osteonecrosis, pelvis
Clinical Classification Guidelines
Medical Intelligence & Overview
Osteonecrosis, also known as avascular necrosis, occurs when blood flow to a bone area is reduced or blocked, leading to bone tissue death. The pelvis, a vital structure supporting the spine and lower limbs, can be affected by this condition. ICD-10 code M87.350 specifically refers to other secondary osteonecrosis of the pelvis, indicating a form of bone death that develops due to an underlying condition or secondary causes rather than primary, idiopathic origins. Recognizing and understanding this condition is essential for managing symptoms and preventing further damage.
Causes & Symptoms
Clinical Causes: Trauma or fractures disrupting blood supply to the pelvis Chronic corticosteroid use Excessive alcohol consumption Blood disorders such as sickle cell anemia Radiation therapy targeting pelvic regions Certain medical treatments or conditions that impair blood flow Certain autoimmune or inflammatory diseases Metabolic disorders affecting bone health
Key Symptoms: Deep, persistent hip or pelvic pain that worsens with activity Limited range of motion in the hip or pelvis Swelling or tenderness in the affected area Pain that gradually worsens over time Difficulty walking or performing daily activities Potential weakness or numbness in the leg or groin
Diagnostic & Treatment
Diagnosis Path: Medical history assessment focusing on risk factors and symptom progression Physical examination to identify areas of tenderness, swelling, and mobility limitations Imaging tests such as X-rays, which may show bone changes in advanced stages Magnetic Resonance Imaging (MRI), which is more sensitive in detecting early bone death Bone scans or CT scans may also be used to evaluate the extent of the condition
Treatment Protocols: Conservative approaches like activity modification, rest, and analgesics to control pain Medications such as bisphosphonates to help slow bone loss (though their effectiveness varies) Physical therapy to improve mobility and strengthen surrounding muscles Assistive devices like crutches or walkers to reduce weight-bearing stress Surgical interventions in advanced cases, including core decompression, bone grafts, or joint replacement
Clinical Advice & FAQs
Billing Guidance
Is M87.350 a billable ICD-10 code?
Yes, M87.350 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M87.350?
Clinical documentation must specify the nature of Other secondary osteonecrosis, pelvis and any associated comorbidities for accurate reporting.
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