ICD 10 CM M90.642 | Description & Clinical Information

ICD 10 M90.642 describes a medical condition known as osteitis deformans in neoplastic diseases of the left hand, which is characterized by the weakening and deformation of bones caused by cancer rather than physical injury, also referred to as Paget disease of bone or osteitis deformans in malignant neoplasm of bone, and can result in significant pain and disability for those affected.

Official Description Of M90.642

The ICD 10 CM book defines ICD 10 code M90.642 as:

Osteitis deformans in neoplastic diseases, left hand
Parent Code Notes: M90.6

Excludes1: osteitis deformans [Paget’s disease of bone] (M88.-)

Code first the neoplasm (C40.-, C41.-)

Parent Code Notes: M90

Excludes1: osteochondritis, osteomyelitis, and osteopathy (in):
cryptococcosis (B45.3)
diabetes mellitus (E08-E13 with .69-)
gonococcal (A54.43)
neurogenic syphilis (A52.11)
renal osteodystrophy (N25.0)
salmonellosis (A02.24)
secondary syphilis (A51.46)
syphilis (late) (A52.77)

When To Use M90.642

The diagnosis describes by ICD 10 CM M90.642 refers to a medical condition called osteitis deformans, which affects the bones of the left hand. It is a chronic condition that can result in pain, weakening, and deformity of the affected bone. Patients suffering from this condition may also experience fractures, bowing of weightbearing bones, and deformity of flat bones.

To diagnose osteitis deformans, healthcare providers typically rely on personal history and physical examination. Imaging techniques such as X-rays, MRI, PET, CT scans, and DXA scan can also be used to determine bone mineral density. In addition, laboratory examination of the blood for alkaline phosphatase and bone markers for bone resorption or production can help confirm the diagnosis. In some cases, a bone biopsy may be necessary to confirm the diagnosis.

Treatment options for osteitis deformans vary depending on the severity of the condition. Reducing weightbearing can help to decrease the pressure on affected bones and alleviate pain. The use of orthopedic aids like braces or splints is also helpful for some patients. Medications that inhibit bone loss or prevent bone resorption, and analgesics, which can alleviate pain, are also commonly used. Physical therapy is also an important component of treatment as it can improve range of motion, flexibility, and muscle strength.

Effective treatment of osteitis deformans may also involve addressing underlying conditions that contribute to its development. For instance, if the patient has high blood calcium levels, doctors may prescribe medication to control these levels. Finally, surgical treatment may be necessary in cases of fracture or severe deformity.

In conclusion, ICD 10 CM M90.642 describes a chronic medical condition called osteitis deformans, which affects the bones of the left hand. While it can cause pain, deformity, and loss of function, a range of treatment options exists to manage the symptoms and help patients maintain a good quality of life. Early diagnosis and effective intervention are thus essential to minimizing the impact of this condition on the individual affected by it.

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