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ICD-10 Guide
ICD-10 CodesM87.341

M87.341

Billable

Other secondary osteonecrosis, right hand

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

Code Description

ICD-10 M87.341 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, right hand.

Key Diagnostic Point:

M87.341 refers to a specific type of osteonecrosis that occurs in the right hand, classified as secondary osteonecrosis. This condition arises when blood supply to the bone is disrupted, leading to bone tissue death. Secondary osteonecrosis can result from various factors, including trauma, corticosteroid use, excessive alcohol consumption, or underlying medical conditions such as sickle cell disease or systemic lupus erythematosus. In the case of the right hand, the affected bones may include the metacarpals or phalanges, which can lead to pain, swelling, and 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 with pain relief, physical therapy, or surgical interventions like core decompression or bone grafting, depending on the severity of the condition. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary osteonecrosis
  • Identifying the specific location of osteonecrosis
  • Understanding the underlying causes contributing to the condition
  • Documentation of prior treatments and their outcomes

Audit Risk Factors

  • Inadequate documentation of the underlying cause of osteonecrosis
  • Failure to specify the exact location of the condition
  • Lack of imaging studies to support the diagnosis
  • Incorrect coding of related conditions or complications

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 pain in the hand, history of corticosteroid use, or previous trauma.

Billing Considerations

Ensure that all contributing factors to osteonecrosis are documented, including any comorbidities.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic conditions that may contribute to osteonecrosis.

Common Clinical Scenarios

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

Billing Considerations

Document the relationship between systemic diseases and osteonecrosis to support coding.

Coding Guidelines

Inclusion Criteria

Use M87.341 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the diagnosis is confirmed and supported by clinical documentation

Exclusion Criteria

Do NOT use M87.341 When
  • Exclude conditions that do not meet the criteria for osteonecrosis

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 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. M87.341 provides specificity that was not available in ICD-9.

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. M87.341 provides specificity that was not available in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. M87.341 provides specificity that was not available in ICD-9.

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 difference between primary and secondary osteonecrosis?

Primary osteonecrosis occurs without any identifiable cause, while secondary osteonecrosis is associated with specific risk factors such as trauma, medications, or systemic diseases.