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ICD-10 Guide
ICD-10 CodesM87.24

M87.24

Billable

Osteonecrosis due to previous trauma, hand and fingers

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

Code Description

ICD-10 M87.24 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, hand and fingers.

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 M87.24, the osteonecrosis is specifically attributed to previous trauma affecting the hand and fingers. This condition can arise after fractures, dislocations, or other injuries that compromise the vascular supply to the bone. The affected areas may experience pain, limited range of motion, and eventual joint dysfunction. 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 measures like physical therapy and pain management, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition. Understanding the underlying cause of osteonecrosis is crucial for effective management and prevention of further complications, including potential infections or osteomyelitis, which can arise from compromised bone integrity.

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 and bone conditions.
  • Need for precise documentation of prior trauma.
  • Potential for co-morbid conditions affecting coding.

Audit Risk Factors

  • Inadequate documentation of prior trauma.
  • Misclassification of osteonecrosis type.
  • Failure to document co-existing conditions.
  • Inconsistent use of imaging results in documentation.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with pain in the hand or fingers post-injury, requiring surgical intervention.

Billing Considerations

Ensure all relevant imaging and treatment documentation is included to support the diagnosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments and rehabilitation plans post-trauma.

Common Clinical Scenarios

Patients undergoing rehabilitation after surgical treatment for osteonecrosis.

Billing Considerations

Document progress and response to therapy to support ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use M87.24 When
  • Follow official ICD
  • CM guidelines for coding osteonecrosis, ensuring accurate documentation of the cause and any related conditions
  • Include any relevant imaging studies and treatment plans in the medical record

Exclusion Criteria

Do NOT use M87.24 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 joint pain management in osteonecrosis cases.

Documentation Requirements

Document the indication for the procedure and any imaging findings.

Specialty Considerations

Orthopedic specialists should ensure clear linkage between the diagnosis and the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the ability to track and manage this condition. M87.24 provides a clear link between trauma and osteonecrosis, facilitating better patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the ability to track and manage this condition. M87.24 provides a clear link between trauma and osteonecrosis, facilitating better patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the ability to track and manage this condition. M87.24 provides a clear link between trauma and osteonecrosis, facilitating better patient care and resource allocation.

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 M87.24?

The primary cause of osteonecrosis in M87.24 is previous trauma that disrupts blood supply to the bone, leading to tissue death.

How can osteonecrosis be differentiated from osteomyelitis?

Osteonecrosis is characterized by bone death due to lack of blood flow, while osteomyelitis is an infection of the bone. Imaging and clinical history are crucial for differentiation.