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ICD-10 Guide
DiagnosesAvascular Necrosis Right Hip

Avascular Necrosis Right Hip

ICD-10 Coding for Avascular Necrosis of the Right Hip(M87.051)

PRIMARY SPECIALTYOrthopedics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Avascular Necrosis Right Hip?
Essential facts and insights about Avascular Necrosis of the Right Hip

Key Clinical Considerations:

  • Pain in the right hip joint, especially with weight-bearing activities
  • MRI or CT scan showing bone marrow edema and subchondral changes
  • Limited range of motion and tenderness upon palpation of the hip

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including risk factors (e.g., corticosteroid use, alcohol abuse)
  • Imaging results indicating avascular necrosis
  • Detailed physical examination notes

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding avascular necrosis based on location and cause.
  • Common errors include misclassifying the stage of necrosis or not specifying the affected joint.

Code Exclusions

Important Exclusions

  • Osteoarthritis of the hip
  • Traumatic hip injuries
  • Other forms of necrosis not related to avascular causes

Related ICD-10 Codes

Primary Codes
M87.051
Avascular necrosis of right hip
Ancillary Codes
M16.11
Differential Codes
M87.151
M87.251

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

  • Adults aged 30-60, particularly those with risk factors for avascular necrosis.
  • Orthopedic clinics, hospitals, and rehabilitation centers.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include patient history, imaging results, and physical exam findings.

Billing considerations?

Ensure accurate coding to reflect the severity and location of the condition.