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ICD-10 Guide
ICD-10 CodesM87.132

M87.132

Billable

Osteonecrosis due to drugs of left radius

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

Code Description

ICD-10 M87.132 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs of left radius.

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 M87.132, the osteonecrosis is specifically attributed to the use of certain medications, which can disrupt blood flow to the bone. This condition often affects weight-bearing bones but can occur in any bone, including the radius. Symptoms may include pain, limited range of motion, and swelling in the affected area. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone structure and density. Treatment options may vary from conservative management, including pain relief and physical therapy, to surgical interventions like core decompression or joint replacement in severe cases. The left radius is specifically noted in this code, indicating the precise location of the osteonecrosis, which is crucial for treatment planning and understanding the patient's functional limitations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of drug-related osteonecrosis
  • Need for accurate documentation of medication history
  • Differentiation from other types of osteonecrosis
  • Potential for multiple codes related to the same condition

Audit Risk Factors

  • Inadequate documentation of drug history
  • Failure to specify the affected bone
  • Misclassification of osteonecrosis type
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of medication use, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with joint pain and a history of corticosteroid use.

Billing Considerations

Ensure that the documentation clearly links the osteonecrosis to specific medications.

Rheumatology

Documentation Requirements

Comprehensive medication history, including duration and dosage of drugs that may cause osteonecrosis.

Common Clinical Scenarios

Patients with autoimmune disorders on long-term immunosuppressive therapy.

Billing Considerations

Consideration of underlying conditions that may contribute to osteonecrosis.

Coding Guidelines

Inclusion Criteria

Use M87.132 When
  • According to ICD
  • 10 guidelines, M87
  • 132 should be used when osteonecrosis is specifically due to drug use, and the left radius is affected
  • Coders must ensure that the documentation supports the diagnosis and that the etiology is clearly stated

Exclusion Criteria

Do NOT use M87.132 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 any imaging studies.

Specialty Considerations

Orthopedic specialists may perform this procedure more frequently.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding osteonecrosis, particularly in identifying drug-related cases. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding osteonecrosis, particularly in identifying drug-related cases. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and to avoid audits.

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 medications are commonly associated with osteonecrosis?

Common medications include corticosteroids, bisphosphonates, and certain chemotherapy agents. It's important to document any relevant medication history when coding.