ICD 10 CM M93.259 | Description & Clinical Information

ICD 10 M93.259 describes a medical condition known as osteochondritis dissecans, which occurs in the hip joint when a piece of cartilage and an adjacent fragment of bone become detached from the articular epiphysis, the area where the bone and joint meet, leading to pain, stiffness, and limited range of motion in the affected hip joint.

Official Description Of M93.259

The ICD 10 CM book defines ICD 10 code M93.259 as:

Osteochondritis dissecans, unspecified hip
Parent Code Notes: M93

Excludes2: osteochondrosis of spine (M42.-)

When To Use M93.259

The diagnosis describes by ICD 10 CM M93.259 code is osteochondritis dissecans, a disease that affects the joint surface and the underlying bone. The early symptoms of the condition may not be well-defined, but as it progresses, patients typically experience swelling and pain, as well as catching, locking, and giving way of the joint.

To diagnose a patient with osteochondritis dissecans, healthcare providers generally perform a thorough evaluation of the patient’s medical history, a physical examination of their gait and range of motion, as well as imaging tests such as X-rays, MRIs, and CT scans. Providers must perform a differential diagnosis to rule out any other possible causes of the patient’s symptoms.

The treatment options for osteochondritis dissecans vary depending on the patient’s age and the severity of their condition. For younger patients, who are still developing, conservative measures such as activity modification, protected weight bearing, and immobilization may be effective. These measures may allow the joint to heal on its own without the need for surgical intervention.

Surgical interventions are typically reserved for older patients or those with severe symptoms. The most common surgical procedure for osteochondritis dissecans is arthroscopic surgery. During the procedure, the surgeon will inspect and clean the joint, removing any loose or damaged cartilage and bone fragments. Afterward, the surgeon will make a small hole in the bone to allow for the growth of new, healthy bone.

Physical therapy and rehabilitation are also an essential aspect of the treatment of osteochondritis dissecans. Although surgery may correct the condition, it takes time for the body to heal properly, and rehabilitation can help strengthen the joint and promote healing. Patients may also need to make lifestyle changes, such as incorporating low-impact exercises and avoiding high-impact activities, to reduce the likelihood of re-injury.

In conclusion, ICD 10 CM M93.259 code is used to describe the diagnosis of osteochondritis dissecans, a condition that affects the joint surface and the underlying bone. The diagnosis is typically made based on the patient’s medical history, physical examination, and imaging tests like X-rays, MRIs, and CT scans. Treatment options vary depending on the patient’s age and the severity of their condition, but may include conservative measures, surgical intervention, physical therapy, and rehabilitation. Patients must work closely with their healthcare providers and adhere to their treatment plans to promote proper healing and prevent re-injury.

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