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ICD-10 Guide
ICD-10 CodesM87.374

M87.374

Billable

Other secondary osteonecrosis, right foot

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

Code Description

ICD-10 M87.374 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, right foot.

Key Diagnostic Point:

Other secondary osteonecrosis of the right foot refers to the death of bone tissue in the foot due to a lack of blood supply, which can occur as a result of various underlying conditions such as trauma, corticosteroid use, or certain diseases like diabetes or sickle cell disease. This condition can lead to severe pain, limited mobility, and potential complications such as fractures or joint collapse. The right foot is specifically affected, which may influence treatment options and rehabilitation strategies. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage and to rule out other conditions like osteomyelitis, which is an infection of the bone. Treatment may include pain management, physical therapy, and in some cases, surgical intervention to remove necrotic bone or to stabilize the affected area. Understanding the underlying cause of osteonecrosis is crucial for effective management and prevention of further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary osteonecrosis
  • Identifying the underlying cause of osteonecrosis
  • Potential overlap with osteomyelitis coding
  • Need for precise documentation of the affected site

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Failure to specify the affected limb
  • Misclassification with osteomyelitis codes
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, surgical notes, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the affected area and any surgical interventions performed.

Rheumatology

Documentation Requirements

Comprehensive patient history including autoimmune conditions and medication use.

Common Clinical Scenarios

Patients with systemic diseases leading to secondary osteonecrosis.

Billing Considerations

Document any comorbid conditions that may contribute to osteonecrosis.

Coding Guidelines

Inclusion Criteria

Use M87.374 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis and any underlying conditions
  • Include imaging results and treatment plans to support the diagnosis of osteonecrosis

Exclusion Criteria

Do NOT use M87.374 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 treating joint pain associated with osteonecrosis.

Documentation Requirements

Document the joint involved and the reason for the procedure.

Specialty Considerations

Orthopedic documentation should include imaging results and treatment rationale.

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. M87.374 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. M87.374 provides specificity that was not available in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. M87.374 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 are the common causes of secondary osteonecrosis?

Common causes include corticosteroid use, trauma, alcohol abuse, and certain medical conditions such as sickle cell disease and systemic lupus erythematosus.