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ICD-10 Guide
ICD-10 CodesM87.071

M87.071

Billable

Idiopathic aseptic necrosis of right ankle

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

Code Description

ICD-10 M87.071 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of right ankle.

Key Diagnostic Point:

Idiopathic aseptic necrosis of the right ankle is a condition characterized by the death of bone tissue due to a lack of blood supply, without the presence of infection. This condition often affects the subchondral bone, which is the layer of bone just below the cartilage of a joint. The etiology remains unknown, hence the term 'idiopathic.' Patients may present with pain, swelling, and limited range of motion in the affected ankle. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure. The condition can lead to significant orthopedic complications, including joint dysfunction and the potential for osteoarthritis if not managed appropriately. Treatment options may include conservative measures such as rest, physical therapy, and pain management, or surgical interventions like core decompression or joint replacement in severe cases. The absence of infection distinguishes this condition from osteomyelitis, which is an infection of the bone that requires different management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating from osteomyelitis and other bone infections
  • Understanding idiopathic nature and lack of clear etiology
  • Need for precise documentation of imaging findings
  • Potential for overlapping symptoms with other orthopedic conditions

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify laterality (right vs. left)
  • Misclassification as osteomyelitis or other bone conditions
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with ankle pain, history of trauma, or chronic conditions affecting blood supply.

Billing Considerations

Ensure clear documentation of the idiopathic nature and exclusion of infectious causes.

Radiology

Documentation Requirements

Comprehensive imaging reports detailing findings consistent with aseptic necrosis.

Common Clinical Scenarios

Imaging studies performed for patients with suspected osteonecrosis.

Billing Considerations

Radiologists should clearly indicate the absence of infection in their reports.

Coding Guidelines

Inclusion Criteria

Use M87.071 When
  • Ensure that the diagnosis is supported by imaging studies and clinical findings

Exclusion Criteria

Do NOT use M87.071 When
  • Follow official coding guidelines that specify the need for precise documentation of the condition, including laterality and exclusion of other diagnoses

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.

Documentation Requirements

Document indication for the procedure and any imaging findings.

Specialty Considerations

Orthopedic specialists may perform this procedure for symptomatic relief.

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 idiopathic aseptic necrosis, improving data accuracy and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like idiopathic aseptic necrosis, improving data accuracy and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like idiopathic aseptic necrosis, improving data accuracy and facilitating better patient management.

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 is the primary cause of idiopathic aseptic necrosis?

The primary cause remains unknown, but it is often associated with factors that compromise blood supply to the bone, such as trauma, corticosteroid use, or certain medical conditions.