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ICD-10 Guide
ICD-10 CodesM87.336

M87.336

Billable

Other secondary osteonecrosis of unspecified ulna

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

Code Description

ICD-10 M87.336 is a billable code used to indicate a diagnosis of other secondary osteonecrosis of unspecified ulna.

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 M87.336, the osteonecrosis is secondary, meaning it arises as a complication of another underlying condition or factor, such as corticosteroid use, trauma, or systemic diseases like lupus or sickle cell disease. The ulna, one of the two long bones in the forearm, can be affected, leading to pain, limited range of motion, and potential joint dysfunction. Patients may present with symptoms such as localized pain, swelling, and tenderness in the forearm, particularly during movement. Diagnosis typically involves imaging studies, including X-rays or MRI, to assess the extent of bone damage. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or bone grafting, depending on the severity of the condition. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of secondary causes of osteonecrosis.
  • Differentiation from primary osteonecrosis codes.
  • Need for precise documentation of underlying conditions.
  • Potential for multiple contributing factors to the condition.

Audit Risk Factors

  • Inadequate documentation of underlying conditions.
  • Failure to specify the affected bone accurately.
  • Misclassification of primary vs. secondary osteonecrosis.
  • Lack of imaging studies to support diagnosis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with forearm pain, history of corticosteroid use, or systemic diseases.

Billing Considerations

Documentation must clearly outline the relationship between the underlying condition and the osteonecrosis.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic conditions contributing to osteonecrosis.

Common Clinical Scenarios

Patients with autoimmune disorders presenting with joint pain and potential osteonecrosis.

Billing Considerations

Linking systemic disease management to the development of osteonecrosis is crucial.

Coding Guidelines

Inclusion Criteria

Use M87.336 When
  • According to ICD
  • 10 guidelines, M87
  • 336 should be used when the osteonecrosis is confirmed to be secondary and the specific cause is documented
  • It is important to ensure that the code reflects the correct bone involved and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use M87.336 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 when joint aspiration is performed due to osteonecrosis-related joint effusion.

Documentation Requirements

Document the reason for aspiration and findings.

Specialty Considerations

Orthopedic specialists should ensure 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 secondary causes and improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, enabling better tracking of secondary causes and improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

reimbursement.

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, trauma, alcohol abuse, and systemic diseases such as lupus or sickle cell disease.