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ICD-10 Guide
ICD-10 CodesM87.241

M87.241

Billable

Osteonecrosis due to previous trauma, right hand

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

Code Description

ICD-10 M87.241 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, right hand.

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 M87.241, the osteonecrosis is specifically attributed to previous trauma, which can include fractures, dislocations, or other injuries that compromise blood flow to the bone. The right hand is affected, which may involve the carpal bones, metacarpals, or phalanges. Symptoms often include pain, swelling, and limited range of motion in the affected area. Diagnosis typically involves imaging studies such as X-rays or MRI to assess bone integrity and blood supply. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or bone grafting to restore blood flow and promote healing. Understanding the underlying cause of osteonecrosis is crucial for effective management and prevention of further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of the relationship between trauma and osteonecrosis.
  • Differentiation from other bone conditions like osteomyelitis.
  • Need for precise documentation of prior trauma.
  • Potential for multiple affected sites complicating coding.

Audit Risk Factors

  • Inadequate documentation of prior trauma.
  • Failure to specify the affected site accurately.
  • Misclassification with osteomyelitis or other bone diseases.
  • Lack of imaging studies to support diagnosis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Post-traumatic osteonecrosis following wrist fractures or dislocations.

Billing Considerations

Ensure clear documentation of the mechanism of injury and subsequent symptoms.

Radiology

Documentation Requirements

Imaging reports indicating the presence of osteonecrosis and any associated findings.

Common Clinical Scenarios

MRI findings of avascular necrosis in patients with a history of trauma.

Billing Considerations

Accurate interpretation of imaging studies is crucial for diagnosis.

Coding Guidelines

Inclusion Criteria

Use M87.241 When
  • According to ICD
  • 10 guidelines, M87
  • 241 should be used when osteonecrosis is directly linked to prior trauma
  • Coders must ensure that the documentation supports the diagnosis and that the specific site is clearly indicated

Exclusion Criteria

Do NOT use M87.241 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 osteonecrosis cases.

Documentation Requirements

Document the indication for the procedure and any imaging findings.

Specialty Considerations

Orthopedic specialists often perform this 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 accuracy of data collection and reimbursement processes. M87.241 provides a clear link between trauma and the resulting condition, which is essential for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the accuracy of data collection and reimbursement processes. M87.241 provides a clear link between trauma and the resulting condition, which is essential for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. M87.241 provides a clear link between trauma and the resulting condition, which is essential for treatment planning.

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 difference between osteonecrosis and osteomyelitis?

Osteonecrosis is the death of bone tissue due to lack of blood supply, while osteomyelitis is an infection of the bone. Accurate diagnosis is crucial for appropriate treatment.