ICD 10 CM M85.87 | Description & Clinical Information

ICD 10 M85.87 describes a category of bone disorders that are characterized by the alteration of the structure and thickness of the bones in the ankle and foot, resulting in a range of adverse effects on the density and overall health of the affected bones.

Official Description Of M85.87

The ICD 10 CM book defines ICD 10 code M85.87 as:

Other specified disorders of bone density and structure, ankle and foot
Parent Code Notes: M85.8

Excludes1: diffuse idiopathic skeletal hyperostosis [DISH] (M48.1)
osteosclerosis congenita (Q77.4)
osteosclerosis fragilitas (generalista) (Q78.2)
osteosclerosis myelofibrosis (D75.81)

Parent Code Notes: M85

Excludes1: osteogenesis imperfecta (Q78.0)
osteopetrosis (Q78.2)
osteopoikilosis (Q78.8)
polyostotic fibrous dysplasia (Q78.1)

When To Use M85.87

The diagnosis described by ICD-10-CM code M85.87 pertains to other specified disorders of the bone density and structure of the ankle and foot. This condition can lead to a range of symptoms including pain, swelling, deformity, muscle weakness, restricted motion, and even numbness if a nerve is involved.

When a patient presents with these symptoms, the healthcare provider will typically take a thorough medical history and conduct a physical examination to determine the extent of the condition. They may also utilize imaging techniques such as X-rays, magnetic resonance imaging (MRI), computed tomography (CT) scans, or dual X-ray absorptiometry (DEXA) scans to get a more detailed look at the bone health and mineral density.

In some cases, blood tests may be ordered to check the erythrocyte sedimentation rate (ESR) or levels of calcium, vitamin D, or alkaline phosphatase. Additionally, tests may be conducted to measure bone formation or loss. These tests help the healthcare provider to better understand the underlying cause of the patient’s symptoms so that they can develop an effective course of treatment.

Treatment options for M85.87 can include analgesic medications to manage pain, as well as the use of braces or splints to prevent movement and reduce swelling. Nutritional supplements like calcium are often recommended, as is physical exercise to improve range of motion and strengthen muscles. Surgical intervention may also be necessary in rare instances when the condition is severe and loss of function and structure of the bone is present.

It is important to note that when the healthcare provider records this diagnosis in the patient’s medical records, it is not reportable under another, more specific code. This means that while the diagnosis may be specific to the ankle and foot, it falls under the broad umbrella of M85.87. Still, by carefully assessing and diagnosing the condition, healthcare providers can work to ensure that their patients receive the appropriate treatments to manage and mitigate their symptoms effectively.

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