B08.4 - Enteroviral vesicular stomatitis with exanthem (Hand, foot and mouth)

Clinical Definition

Orthopedic code M89.651 refers to osteolysis of the right thigh. This condition involves the localized loss or destruction of bone tissue in the right femur region, which can occur due to various underlying conditions or mechanical factors.

Documentation Requirements

• Laterality: Must specifically document RIGHT thigh/femur

• Location: Confirm thigh/femoral region involvement

• Severity: Document extent of bone loss/destruction

• Underlying cause: Note any:

  • Inflammatory conditions

  • Mechanical factors

  • Post-surgical changes

  • Implant-related issues

• Active symptoms: Document:

  • Pain levels

  • Functional limitations

  • Mobility issues

Common Synonyms

• Bone resorption of right thigh

• Femoral bone loss

• Thigh bone deterioration

• Right leg bone dissolution

Coding Conflicts

• Excludes1:

  • Periprosthetic osteolysis (T84.05-)

  • Post-surgical osteolysis around prosthetic joints

• Excludes2:

  • Osteoporosis (M80-M81)

  • Pathological fractures due to osteolysis

Scribing.io Automation

The AI scribe automatically identifies and captures:

• Anatomical terms like "femur" and "thigh"

• Laterality markers ("right" vs "left")

• Words indicating bone destruction/loss

• Associated symptoms and causes

• Distinguishes between general bone loss and specific osteolysis

When dictating, emphasize right-sided involvement and specific bone destruction patterns for accurate code assignment.