2025 ICD-10-CM code M87.011
Idiopathic aseptic necrosis of right shoulder
Medical necessity for treatment is established by the presence of symptoms impacting function and quality of life, confirmed by imaging and other diagnostic findings.
Idiopathic aseptic necrosis of the right shoulder bone may result in gradually increasing pain, limited range of motion, and numbness if nerve involvement occurs. Diagnosis involves patient history, physical examination, imaging (X-rays, CT scans, MRI, bone scans, DXA scan), blood tests (ESR), and possibly arthroscopy or bone biopsy. Treatment options include reducing weight-bearing, range of motion exercises, electromagnetic stimulation, nerve blocks, orthoses, analgesics, NSAIDs, and surgery.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Osteopathies and chondropathies (M80-M94)
In simple words: Bone death in the right shoulder due to lack of blood flow, of unknown cause.
Idiopathic aseptic necrosis of the right shoulder bone due to an unknown cause. This condition results from the interruption of blood supply to the affected bone, leading to bone death.
Example 1: A 50-year-old male presents with gradual onset of right shoulder pain and stiffness, worsening over several months. Imaging reveals avascular necrosis of the humeral head, consistent with M87.011., A female patient with a history of lupus experiences right shoulder pain and limited movement. After diagnostic workup, she is diagnosed with idiopathic aseptic necrosis of the right shoulder, coded as M87.011., Following a minor fall, a patient develops persistent right shoulder discomfort. Medical evaluation reveals M87.011, indicating idiopathic aseptic necrosis unrelated to the trauma.
Documentation should include the type of aseptic necrosis, affected location (right shoulder), laterality, onset and duration of symptoms, diagnostic findings (imaging, lab results), and treatment plan.
- Specialties:Orthopedics, Rheumatology, Radiology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Independent Clinic