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ICD-10 Guide
ICD-10 CodesM87.32

M87.32

Billable

Other secondary osteonecrosis, humerus

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

Code Description

ICD-10 M87.32 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, humerus.

Key Diagnostic Point:

M87.32 refers to a condition characterized by the death of bone tissue in the humerus due to a lack of blood supply, which can occur as a secondary complication from various underlying conditions. This form of osteonecrosis can arise from factors such as corticosteroid use, alcohol abuse, trauma, or systemic diseases like lupus or sickle cell disease. The humerus, being a long bone in the upper arm, is particularly susceptible to osteonecrosis, leading to pain, limited range of motion, and potential joint dysfunction. Clinically, patients may present with localized pain, swelling, and tenderness in the shoulder region, which may worsen with activity. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal characteristic changes in the bone structure. Management may include conservative measures like physical therapy and pain management, or surgical interventions such as core decompression or joint replacement in advanced cases. Understanding the underlying cause is crucial for effective treatment and prevention of further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to osteonecrosis
  • Differentiation from other bone pathologies
  • Need for precise documentation of secondary causes
  • Potential for multiple codes related to comorbidities

Audit Risk Factors

  • Inadequate documentation of underlying conditions
  • Failure to specify the location of osteonecrosis
  • Misclassification of primary vs. secondary osteonecrosis
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of the patient's symptoms, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with shoulder pain and a history of corticosteroid use or trauma.

Billing Considerations

Ensure that all relevant imaging studies are documented to support the diagnosis.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic conditions contributing to osteonecrosis.

Common Clinical Scenarios

Patients with autoimmune disorders presenting with joint pain and risk factors for osteonecrosis.

Billing Considerations

Document the relationship between systemic disease and osteonecrosis to justify coding.

Coding Guidelines

Inclusion Criteria

Use M87.32 When
  • According to ICD
  • 10 coding guidelines, M87
  • 32 should be used when osteonecrosis is confirmed as secondary to another condition
  • Coders must ensure that the underlying cause is documented and that the osteonecrosis is specifically identified as affecting the humerus

Exclusion Criteria

Do NOT use M87.32 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 patients with osteonecrosis.

Documentation Requirements

Document the indication for the procedure and any imaging findings.

Specialty Considerations

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, enabling better tracking of the condition and its causes. M87.32 provides a clear distinction for secondary osteonecrosis, which aids in treatment planning and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, enabling better tracking of the condition and its causes. M87.32 provides a clear distinction for secondary osteonecrosis, which aids in treatment planning and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, enabling better tracking of the condition and its causes. M87.32 provides a clear distinction for secondary osteonecrosis, which aids in treatment planning and research.

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 systemic diseases such as lupus and sickle cell disease.

How is osteonecrosis diagnosed?

Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal characteristic changes in the bone structure.

What are the treatment options for M87.32?

Treatment options may include conservative measures like physical therapy and pain management, or surgical interventions such as core decompression or joint replacement in advanced cases.