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ICD-10 Guide
ICD-10 CodesM87.353

M87.353

Billable

Other secondary osteonecrosis, unspecified femur

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

Code Description

ICD-10 M87.353 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, unspecified femur.

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 M87.353, the osteonecrosis is secondary, meaning it arises as a complication of another underlying condition or factor, such as corticosteroid use, alcohol abuse, or certain medical conditions like lupus or sickle cell disease. The unspecified femur indicates that the specific site of the osteonecrosis within the femur is not detailed. Patients may present with joint pain, limited range of motion, and in advanced cases, joint collapse. 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 such as core decompression or joint replacement, depending on the severity of the condition. Understanding the etiology and management of secondary osteonecrosis is crucial for effective treatment and coding.

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 be documented.

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

Common Clinical Scenarios

Patients presenting with hip or knee pain, particularly those with a history of corticosteroid use or other risk factors.

Billing Considerations

Ensure that all contributing factors to osteonecrosis are documented to support the use of M87.353.

Rheumatology

Documentation Requirements

Comprehensive assessment of autoimmune conditions that may contribute to osteonecrosis.

Common Clinical Scenarios

Patients with systemic lupus erythematosus or other rheumatologic disorders presenting with joint pain.

Billing Considerations

Document the relationship between the underlying condition and the development of osteonecrosis.

Coding Guidelines

Inclusion Criteria

Use M87.353 When
  • According to ICD
  • 10 guidelines, M87
  • 353 should be used when osteonecrosis is secondary to another condition and the specific site is not documented
  • Coders must ensure that the underlying cause is clearly documented to justify the use of this code

Exclusion Criteria

Do NOT use M87.353 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 joint 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 of osteonecrosis.

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. M87.353 provides a clear distinction for secondary osteonecrosis, which was less defined in ICD-9.

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. M87.353 provides a clear distinction for secondary osteonecrosis, which was less defined in ICD-9.

Reimbursement & Billing Impact

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. M87.353 provides a clear distinction for secondary osteonecrosis, which was less defined 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 are the common causes of secondary osteonecrosis?

Common causes include long-term corticosteroid use, excessive alcohol consumption, trauma, and certain medical conditions such as lupus or sickle cell disease.