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ICD-10 Guide
ICD-10 CodesM87.350

M87.350

Billable

Other secondary osteonecrosis, pelvis

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

Code Description

ICD-10 M87.350 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, pelvis.

Key Diagnostic Point:

Other secondary osteonecrosis of the pelvis refers to the death of bone tissue in the pelvic region due to a lack of blood supply, which can occur as a result of various underlying conditions. This condition is often secondary to other diseases or factors, such as corticosteroid use, alcohol abuse, trauma, or certain medical conditions like sickle cell disease or systemic lupus erythematosus. Patients may present with pain in the hip or groin area, limited range of motion, and may experience joint dysfunction. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans to assess the extent of bone necrosis. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or joint replacement in advanced cases. The complexity of managing osteonecrosis lies in its multifactorial etiology and the need for a multidisciplinary approach to address both the bone health and the underlying conditions contributing to the osteonecrosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to osteonecrosis
  • Need for precise documentation of secondary causes
  • Differentiation from primary osteonecrosis
  • Potential for multiple co-morbidities

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, treatment plans, and follow-up notes are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all contributing factors to osteonecrosis are documented to support the diagnosis.

Rheumatology

Documentation Requirements

Comprehensive history of systemic diseases and medications that may contribute 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 conditions and the development of osteonecrosis.

Coding Guidelines

Inclusion Criteria

Use M87.350 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation, imaging studies, and treatment plans
  • Include any relevant secondary conditions that may contribute to the osteonecrosis

Exclusion Criteria

Do NOT use M87.350 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 reason for the procedure, including pain levels and imaging findings.

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 greater specificity in coding osteonecrosis, enabling better tracking of the condition and its causes, which can improve patient care and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding osteonecrosis, enabling better tracking of the condition and its causes, which can improve patient care and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding osteonecrosis, enabling better tracking of the condition and its causes, which can improve patient care and outcomes.

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 or sickle cell disease.