ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM87.311

M87.311

Billable

Other secondary osteonecrosis, right shoulder

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

Code Description

ICD-10 M87.311 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, right shoulder.

Key Diagnostic Point:

M87.311 refers to a condition characterized by the death of bone tissue in the right shoulder due to a lack of blood supply, which is classified as secondary osteonecrosis. This condition can arise from various underlying causes, including trauma, corticosteroid use, excessive alcohol consumption, or certain medical conditions such as sickle cell disease or systemic lupus erythematosus. Patients may present with pain, limited range of motion, and swelling in the shoulder area. Diagnosis typically involves imaging studies such as X-rays or MRI to assess bone integrity and identify necrotic areas. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or joint replacement in more severe cases. Understanding the etiology and management of secondary osteonecrosis is crucial for effective treatment and rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary osteonecrosis
  • Identifying underlying causes that may contribute to the condition
  • Understanding the specific anatomical location (right shoulder) for accurate coding
  • Navigating the nuances of related codes for osteonecrosis

Audit Risk Factors

  • Inadequate documentation of the underlying cause of osteonecrosis
  • Failure to specify the affected anatomical site
  • Misclassification of osteonecrosis as osteomyelitis or other bone conditions
  • Lack of imaging studies to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed patient history, imaging results, treatment plans, and follow-up care notes.

Common Clinical Scenarios

Patients presenting with shoulder pain, limited mobility, or after corticosteroid treatment.

Billing Considerations

Orthopedic surgeons should document the specific surgical procedures performed and any complications encountered.

Rheumatology

Documentation Requirements

Comprehensive assessment of underlying systemic conditions contributing to osteonecrosis.

Common Clinical Scenarios

Patients with autoimmune diseases presenting with joint pain and history of corticosteroid use.

Billing Considerations

Rheumatologists should ensure that the relationship between systemic disease and osteonecrosis is clearly documented.

Coding Guidelines

Inclusion Criteria

Use M87.311 When
  • According to ICD
  • 10 coding guidelines, M87
  • 311 should be used when the osteonecrosis is confirmed to be secondary and specifically affects the right shoulder
  • Coders must ensure that the documentation supports the diagnosis and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use M87.311 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopy, shoulder, diagnostic, with or without synovial biopsy

Clinical Scenario

Used when assessing the shoulder joint for osteonecrosis.

Documentation Requirements

Document the reason for the procedure and findings.

Specialty Considerations

Orthopedic surgeons should ensure that the procedure is justified based on clinical findings.

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. M87.311 provides a clear distinction between different types of osteonecrosis, which aids in clinical research and 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. M87.311 provides a clear distinction between different types of osteonecrosis, which aids in clinical research and treatment planning.

Reimbursement & Billing Impact

reimbursement processes. M87.311 provides a clear distinction between different types of osteonecrosis, which aids in clinical research and 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 are the common causes of secondary osteonecrosis?

Common causes include corticosteroid use, alcohol abuse, trauma, and certain medical conditions such as sickle cell disease and systemic lupus erythematosus.

How is osteonecrosis diagnosed?

Osteonecrosis is typically diagnosed through imaging studies such as X-rays or MRI, which can reveal changes in bone structure and areas of necrosis.

What are the treatment options for osteonecrosis?

Treatment options range from conservative management with pain relief and physical therapy to surgical interventions such as core decompression or joint replacement, depending on the severity of the condition.