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ICD-10 Guide
ICD-10 CodesM87.232

M87.232

Billable

Osteonecrosis due to previous trauma of left radius

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

Code Description

ICD-10 M87.232 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma of left radius.

Key Diagnostic Point:

Osteonecrosis, also known as avascular necrosis, is a condition characterized by the death of bone tissue due to a lack of blood supply. In the case of M87.232, the osteonecrosis is specifically attributed to previous trauma affecting the left radius. This condition can arise after fractures, dislocations, or other significant injuries that compromise the vascular supply to the bone. The left radius, being a critical bone in the forearm, plays a vital role in wrist and elbow function. Symptoms may include pain, swelling, and limited range of motion in the affected area. If left untreated, osteonecrosis can lead to joint collapse and severe disability. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage. Treatment options may include conservative management, such as pain relief and physical therapy, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of the relationship between trauma and osteonecrosis.
  • Differentiation from other types of osteonecrosis.
  • Need for precise documentation of prior trauma.
  • Potential for co-morbid conditions affecting treatment.

Audit Risk Factors

  • Inadequate documentation of prior trauma.
  • Failure to specify the affected bone.
  • Misinterpretation of imaging results.
  • Inconsistent treatment documentation.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of trauma, imaging results, and treatment plans.

Common Clinical Scenarios

Post-fracture complications, chronic pain management, surgical interventions.

Billing Considerations

Ensure clear linkage between trauma and osteonecrosis in documentation.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, rehabilitation goals, and progress notes.

Common Clinical Scenarios

Rehabilitation post-surgery, pain management strategies.

Billing Considerations

Documenting functional limitations and response to therapy is crucial.

Coding Guidelines

Inclusion Criteria

Use M87.232 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the cause (previous trauma) and the specific bone affected (left radius)
  • Include any relevant imaging or treatment notes to support the diagnosis

Exclusion Criteria

Do NOT use M87.232 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 osteonecrosis.

Documentation Requirements

Document the reason for the procedure and the patient's response.

Specialty Considerations

Orthopedic specialists should ensure clear documentation of joint involvement.

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 osteonecrosis, improving the accuracy of diagnoses and treatment planning. M87.232 provides a clear link between trauma and the resulting condition, which is crucial for appropriate management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like osteonecrosis, improving the accuracy of diagnoses and treatment planning. M87.232 provides a clear link between trauma and the resulting condition, which is crucial for appropriate management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 osteonecrosis in this code?

The primary cause of osteonecrosis in M87.232 is previous trauma to the left radius, which disrupts blood supply to the bone.