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ICD-10 Guide
ICD-10 CodesM87.041

M87.041

Billable

Idiopathic aseptic necrosis of right hand

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

Code Description

ICD-10 M87.041 is a billable code used to indicate a diagnosis of idiopathic aseptic necrosis of right hand.

Key Diagnostic Point:

Idiopathic aseptic necrosis of the right hand refers to the death of bone tissue due to a lack of blood supply, specifically affecting the bones in the hand. This condition is termed 'idiopathic' because the exact cause is unknown, although it may be associated with factors such as trauma, corticosteroid use, or excessive alcohol consumption. The necrosis leads to bone collapse and can result in significant pain, limited mobility, and functional impairment of the hand. Clinically, patients may present with localized pain, swelling, and tenderness in the affected area, often exacerbated by movement. Diagnosis typically involves imaging studies such as X-rays or MRI, which can reveal changes in bone density and structure. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or bone grafting, depending on the severity and progression of the condition. Early diagnosis and intervention are crucial to prevent further complications and preserve hand function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise documentation of idiopathic nature
  • Differentiation from other types of osteonecrosis
  • Potential for co-morbid conditions affecting treatment

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the idiopathic nature of the condition
  • Lack of imaging results in the medical record
  • Misclassification with other forms of osteonecrosis or osteomyelitis

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 hand pain and limited mobility, often after a history of trauma or corticosteroid use.

Billing Considerations

Ensure clear documentation of the idiopathic nature and any associated risk factors.

Radiology

Documentation Requirements

Comprehensive imaging reports detailing findings consistent with osteonecrosis.

Common Clinical Scenarios

Imaging studies performed for patients with suspected osteonecrosis of the hand.

Billing Considerations

Radiologists should clearly indicate the presence of necrosis and any differential diagnoses.

Coding Guidelines

Inclusion Criteria

Use M87.041 When
  • According to ICD
  • 10 coding guidelines, M87
  • 041 should be used when the condition is confirmed as idiopathic and not due to other identifiable causes
  • Documentation must support the diagnosis and include any relevant imaging studies

Exclusion Criteria

Do NOT use M87.041 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 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 conditions like M87.041, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track the prevalence and treatment outcomes of osteonecrosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M87.041, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track the prevalence and treatment outcomes of osteonecrosis.

Reimbursement & Billing Impact

reimbursement processes. It has also enhanced the ability to track the prevalence and treatment outcomes of osteonecrosis.

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 primary cause of idiopathic aseptic necrosis?

The primary cause is unknown, but it may be associated with factors such as trauma, corticosteroid use, or excessive alcohol consumption.

How is idiopathic aseptic necrosis diagnosed?

Diagnosis is typically made through clinical evaluation and imaging studies, particularly MRI, which can detect early changes in bone structure.

What are the treatment options for this condition?

Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or bone grafting.