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ICD-10 Guide
ICD-10 CodesM87.250

M87.250

Billable

Osteonecrosis due to previous trauma, pelvis

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

Code Description

ICD-10 M87.250 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, pelvis.

Key Diagnostic Point:

Osteonecrosis of the pelvis due to previous trauma is a condition characterized by the death of bone tissue resulting from a lack of blood supply, often following an injury. This condition can lead to severe pain, limited mobility, and potential joint collapse. The pelvis is a critical area for weight-bearing and movement, making osteonecrosis particularly debilitating. The trauma may include fractures, dislocations, or other significant injuries that disrupt the vascular supply to the bone. Over time, the affected bone may become brittle and collapse, leading to further complications such as osteoarthritis or the need for surgical intervention. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Treatment options may include conservative management with pain relief and physical therapy, or more invasive procedures like core decompression or joint replacement, depending on the severity of the condition and the extent of bone damage.

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 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, treatment plans, and follow-up care.

Common Clinical Scenarios

Patients presenting with hip pain following a pelvic fracture, or those with chronic pain post-trauma.

Billing Considerations

Ensure that all relevant imaging and treatment interventions are documented to support the diagnosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, pain management strategies, and rehabilitation progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation after surgical intervention for osteonecrosis.

Billing Considerations

Documenting the impact of osteonecrosis on functional abilities and quality of life is crucial.

Coding Guidelines

Inclusion Criteria

Use M87.250 When
  • According to ICD
  • 10 guidelines, M87
  • 250 should be used when there is clear documentation of osteonecrosis resulting from previous trauma
  • It is essential to ensure that the trauma is well
  • documented and directly linked to the osteonecrosis diagnosis

Exclusion Criteria

Do NOT use M87.250 When
  • Exclusion criteria include osteonecrosis due to other causes such as corticosteroid use or alcohol abuse

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 indication for the procedure and the patient's response.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is linked to the diagnosis of osteonecrosis.

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 capture the nuances of trauma-related cases. This specificity aids in better tracking of treatment outcomes 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 capture the nuances of trauma-related cases. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the ability to capture the nuances of trauma-related cases. This specificity aids in better tracking of treatment outcomes 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 this code?

The primary cause is previous trauma that disrupts blood supply to the bone, leading to necrosis.