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ICD-10 Guide
ICD-10 CodesChapter 13: Diseases of the musculoskeletal systemM87

M87

Non-billable

Osteonecrosis

Chapter 13:Diseases of the musculoskeletal system

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 M87 is a used to indicate a diagnosis of osteonecrosis.

Key Diagnostic Point:

Osteonecrosis, classified under the ICD-10 code category M87, refers to the death of bone tissue due to a lack of blood supply. This condition can affect any bone in the body but is most commonly seen in the hip, knee, and shoulder joints. Osteonecrosis can result from various factors, including trauma, long-term use of corticosteroids, excessive alcohol consumption, and certain medical conditions such as sickle cell disease or lupus. Early diagnosis and treatment are crucial to prevent joint collapse and preserve function, making awareness of this condition essential for healthcare providers.

  • Clinically, osteonecrosis presents with pain and limited range of motion in the affected joint, which may worsen over time. Imaging studies, such as X-rays or MRI, are typically employed to confirm the diagnosis and assess the extent of bone damage. Treatment options vary based on the stage of the disease and may include conservative measures like physical therapy and pain management, as well as surgical interventions such as core decompression or joint replacement in advanced cases. Proper coding and documentation are vital for ensuring appropriate reimbursement and tracking of patient outcomes in osteonecrosis cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes
  • Need for detailed imaging interpretation
  • Potential for multiple joint involvement

Audit Risk Factors

  • Inadequate documentation of underlying causes
  • Failure to specify the affected joint
  • Misclassification of severity or stage of the disease

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Rheumatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the M87 code category is significant, as it directly relates to the management of osteonecrosis, a condition that can severely affect patient mobility and quality of life. Accurate coding and documentation can improve patient outcomes by ensuring that appropriate treatments are provided in a timely manner. Furthermore, tracking osteonecrosis cases can help healthcare systems identify trends and allocate resources effectively, ultimately contributing to better population health management.
From an administrative perspective, the M87 category plays a crucial role in quality measures and reimbursement processes. As healthcare trends evolve towards value-based care, understanding the implications of osteonecrosis on patient populations will be essential for healthcare providers. This includes recognizing the need for preventive measures and early interventions to mitigate the risk of joint deterioration and associated healthcare costs.

ICD-9 vs ICD-10

The clinical and administrative impact of the M87 code category is significant, as it directly relates to the management of osteonecrosis, a condition that can severely affect patient mobility and quality of life. Accurate coding and documentation can improve patient outcomes by ensuring that appropriate treatments are provided in a timely manner. Furthermore, tracking osteonecrosis cases can help healthcare systems identify trends and allocate resources effectively, ultimately contributing to better population health management. From an administrative perspective, the M87 category plays a crucial role in quality measures and reimbursement processes. As healthcare trends evolve towards value-based care, understanding the implications of osteonecrosis on patient populations will be essential for healthcare providers. This includes recognizing the need for preventive measures and early interventions to mitigate the risk of joint deterioration and associated healthcare costs.

Reimbursement & Billing Impact

reimbursement processes. As healthcare trends evolve towards value-based care, understanding the implications of osteonecrosis on patient populations will be essential for healthcare providers. This includes recognizing the need for preventive measures and early interventions to mitigate the risk of joint deterioration and associated healthcare costs.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for M87

Coding & Billing References

  • •
    Official ICD-10 Guidelines for M87

Frequently Asked Questions

What conditions are included in M87?

M87 encompasses various forms of osteonecrosis, including idiopathic osteonecrosis, osteonecrosis due to corticosteroid use, and osteonecrosis associated with other medical conditions such as sickle cell disease and lupus.

When should I use M87 codes?

M87 codes should be used when diagnosing osteonecrosis, particularly when there is evidence of bone tissue death due to compromised blood supply, and when documenting the specific joint affected.

What documentation is required for M87?

Documentation for M87 should include a clear diagnosis of osteonecrosis, details of the affected joint, any relevant imaging studies, and a description of the patient's medical history, including potential risk factors.