2025 ICD-10-CM code M92
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Musculoskeletal - Osteopathies and chondropathies Diseases of the musculoskeletal system and connective tissue (M00-M99) Feed
Other juvenile osteochondrosis, a condition affecting bone formation centers in children and adolescents, causing bone tissue necrosis and subsequent regrowth.
Medical necessity is established by clinical findings such as pain, limited joint mobility, and radiographic evidence of osteochondrosis.Conservative management is medically necessary for symptom relief and to facilitate healing.Surgical intervention is medically necessary when conservative measures fail to adequately address symptoms or complications arise.
Diagnosis is typically made based on patient history, physical examination findings (including palpation for tenderness or reduced mobility), and radiographic imaging (X-rays) to confirm bone abnormalities. Treatment is largely conservative, involving rest and sometimes immobilization (casting) to restrict joint movement. In rare cases, surgical intervention may be necessary to remove abnormal bone fragments or address complications.Orthopedic specialists or pediatricians often manage this condition.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Osteopathies and chondropathies (M80-M94); Chondropathies (M91-M94)
In simple words: Other juvenile osteochondrosis is a bone problem that mainly happens in kids and teens. It affects the parts of bones that are still growing.Sometimes, the bone tissue dies in these areas, but it usually grows back healthy.This can cause aching in joints, especially when pressure is applied.Most of the time, it gets better on its own with rest, but sometimes a cast might be needed to help the joint heal properly. Rarely, surgery might be necessary.
Other juvenile osteochondrosis is a condition primarily affecting children and adolescents. It involves a disruption of the blood supply to the ossification centers (areas where bone forms), leading to necrosis (tissue death) of the bone tissue.This necrotic bone tissue typically regrows, although it may result in deformity and pain.The condition affects the epiphysis (the end part of a long bone) and may involve the apophysis (a bony outgrowth) or epiphysioid bone. Radiographically, fragmentation, collapse, sclerosis, and reossification of osseous centers are common findings. The etiology is multifactorial and not fully understood, with both genetic and environmental factors likely playing a role.While often self-limiting, it can cause activity-related pain.
Example 1: A 12-year-old boy presents with persistent pain in his left knee after participating in intense basketball training. Physical exam reveals tenderness and slight swelling.Radiographs show evidence of osteochondrosis involving the femoral epiphysis. Treatment consists of rest, physical therapy, and NSAIDs., A 15-year-old girl complains of pain in her ankle after a gymnastics competition.Clinical examination shows limited range of motion and pain on weight bearing.X-rays reveal osteochondrosis of the talus. Treatment involves rest, bracing, and gradual return to activity., A 10-year-old child experiences recurrent pain in the wrist with limited mobility. Radiographic studies reveal osteochondrosis of the carpal bones. Conservative management initially fails to alleviate pain.Surgical intervention is considered for debridement and bone fragment removal.
Detailed patient history including onset, duration, location, and character of pain; description of activity level and any precipitating factors; physical exam findings focusing on joint range of motion, tenderness, swelling, and instability; radiographic images (X-rays) documenting the extent and location of osteochondrosis; notes on the response to conservative management; surgical reports (if applicable); and any follow-up evaluations.
** The term "osteochondrosis" encompasses a range of conditions.Precise coding may require additional specificity based on location and clinical presentation.Always consult the most current ICD-10-CM coding manual for detailed guidelines and updates.
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- Specialties:Orthopedics, Pediatric orthopedics, Rheumatology
- Place of Service:Office, Hospital (inpatient/outpatient), Ambulatory Surgical Center