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ICD-10 Guide
ICD-10 CodesM87.065

M87.065

Billable

Idiopathic aseptic necrosis of left fibula

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M87.065 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of left fibula.

Key Diagnostic Point:

Idiopathic aseptic necrosis of the left fibula is a condition characterized by the death of bone tissue due to a lack of blood supply, specifically affecting the fibula. This condition is termed 'idiopathic' because the exact cause is unknown, although it may be associated with factors such as trauma, corticosteroid use, or excessive alcohol consumption. The necrosis leads to bone weakening and potential collapse, resulting in pain, swelling, and limited mobility. Patients may present with localized tenderness and may experience difficulty in weight-bearing activities. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as bone grafting or joint replacement in severe cases. Early diagnosis and intervention are crucial to prevent further complications and to preserve function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between idiopathic and secondary causes of osteonecrosis.
  • Need for precise documentation of symptoms and imaging findings.
  • Potential overlap with other codes related to osteonecrosis.
  • Understanding the implications of 'aseptic' versus 'infectious' conditions.

Audit Risk Factors

  • Inadequate documentation of the idiopathic nature of the condition.
  • Failure to document imaging results that support the diagnosis.
  • Misclassification of the condition as osteomyelitis.
  • Lack of clarity in treatment plans and follow-up care.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, treatment plans, and follow-up notes.

Common Clinical Scenarios

Patients presenting with chronic pain in the lower leg, history of corticosteroid use, or previous trauma.

Billing Considerations

Ensure that the idiopathic nature is clearly documented to avoid confusion with secondary causes.

Radiology

Documentation Requirements

Comprehensive imaging studies with interpretations that highlight necrotic changes.

Common Clinical Scenarios

Imaging for patients with unexplained leg pain or swelling.

Billing Considerations

Radiologists should provide clear descriptions of findings to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use M87.065 When
  • According to ICD
  • 10 guidelines, M87
  • 065 should be used when the condition is confirmed as idiopathic and not due to other identifiable causes
  • Documentation must support the diagnosis, including imaging findings and clinical symptoms

Exclusion Criteria

Do NOT use M87.065 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used for pain management in patients with necrosis-related joint pain.

Documentation Requirements

Document the reason for the procedure and the joint involved.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like M87.065, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with idiopathic aseptic necrosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M87.065, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with idiopathic aseptic necrosis.

Reimbursement & Billing Impact

reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with idiopathic aseptic necrosis.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of idiopathic aseptic necrosis of the fibula?

Common symptoms include localized pain, swelling, and difficulty bearing weight on the affected leg. Patients may also experience tenderness in the area of the fibula.