M87.311
Other secondary osteonecrosis, right shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
Other secondary osteonecrosis of the right shoulder is a condition characterized by the death of bone tissue in the shoulder joint, specifically on the right side, due to interrupted blood supply. This condition falls under the broader category of osteonecrosis, which involves bone tissue death resulting from reduced blood flow. Unlike primary osteonecrosis, which occurs without an apparent trigger, secondary osteonecrosis is often linked to specific underlying causes such as medical treatments, injuries, or other health issues. When it affects the right shoulder, it can significantly impair movement and quality of life, especially if not diagnosed early.
Causes & Symptoms
Clinical Causes: Use of high-dose corticosteroids over a prolonged period Chronic alcohol abuse Trauma or injury to the shoulder or nearby areas Certain medical conditions such as sickle cell anemia, lupus, or other autoimmune diseases Blood clotting disorders that impair blood flow to the bone Radiation therapy affecting shoulder bones Decompression sickness or diving-related injuries Bone marrow disorders
Key Symptoms: Pain in the shoulder, which may worsen with activity Limited range of motion in the shoulder joint Weakness or numbness in the affected arm Swelling or tenderness around the shoulder A feeling of stiffness or grinding sensation during movement Possible muscle atrophy if the condition progresses Gradual loss of shoulder function
Diagnostic & Treatment
Diagnosis Path: X-rays: to detect changes in bone density and structure in the shoulder Magnetic Resonance Imaging (MRI): provides detailed images to identify early bone death and joint involvement Bone scans: to evaluate blood flow and bone activity Laboratory tests: to rule out infections or other underlying conditions contributing to osteonecrosis
Treatment Protocols: Pain management: use of nonsteroidal anti-inflammatory drugs (NSAIDs) or other pain relievers Rest and activity modification: to reduce stress on the shoulder joint Physical therapy: to maintain range of motion and strengthen surrounding muscles Surgical interventions: such as core decompression, bone grafts, or joint replacement in advanced cases Addressing underlying causes: such as changing medications or treating associated health conditions Assistive devices: like shoulder braces or support slings
Clinical Advice & FAQs
Billing Guidance
Is M87.311 a billable ICD-10 code?
Yes, M87.311 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M87.311?
Clinical documentation must specify the nature of Other secondary osteonecrosis, right shoulder and any associated comorbidities for accurate reporting.
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