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ICD-10 Guide
ICD-10 CodesM87.244

M87.244

Billable

Osteonecrosis due to previous trauma, right finger(s)

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

Code Description

ICD-10 M87.244 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, right finger(s).

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 M87.244, the osteonecrosis is specifically attributed to previous trauma affecting the right finger(s). This condition can occur after fractures, dislocations, or other injuries that compromise the blood supply to the bone. The right fingers may exhibit symptoms such as pain, swelling, and limited range of motion. Over time, if left untreated, osteonecrosis can lead to joint collapse and significant functional impairment. 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. 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 codes if associated with other conditions.

Audit Risk Factors

  • Inadequate documentation of prior trauma.
  • Failure to specify the affected finger(s).
  • Misclassification of osteonecrosis as osteomyelitis.
  • 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

Fractures leading to osteonecrosis, post-surgical complications.

Billing Considerations

Documentation must clearly link trauma to osteonecrosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments and rehabilitation plans.

Common Clinical Scenarios

Rehabilitation post-trauma or surgery for osteonecrosis.

Billing Considerations

Focus on functional outcomes and patient progress.

Coding Guidelines

Inclusion Criteria

Use M87.244 When
  • According to ICD
  • 10 guidelines, M87
  • 244 should be used when osteonecrosis is directly linked to previous trauma
  • Coders must ensure that documentation supports the diagnosis and that the specific finger(s) affected are clearly identified

Exclusion Criteria

Do NOT use M87.244 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 joint involved and the reason for the procedure.

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 conditions like osteonecrosis, improving the accuracy of patient records and facilitating better treatment planning. M87.244 provides a clear link between trauma and the resulting condition, which is essential for appropriate reimbursement and care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like osteonecrosis, improving the accuracy of patient records and facilitating better treatment planning. M87.244 provides a clear link between trauma and the resulting condition, which is essential for appropriate reimbursement and care management.

Reimbursement & Billing Impact

reimbursement and care 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 osteonecrosis in M87.244?

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