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ICD-10 Guide
ICD-10 CodesM87.143

M87.143

Billable

Osteonecrosis due to drugs, unspecified hand

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

Code Description

ICD-10 M87.143 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, unspecified hand.

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 M87.143, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, bisphosphonates, and other medications that may compromise blood flow to the bone. The unspecified hand designation indicates that the specific location within the hand is not detailed, which can complicate treatment and management. Patients may present with pain, limited range of motion, and swelling in the affected area. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage. Treatment options may include medication adjustments, physical therapy, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition. 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

  • Variety of drugs that can cause osteonecrosis, requiring thorough patient history.
  • Need for precise documentation of drug history and dosage.
  • Potential for overlapping symptoms with other conditions like osteomyelitis.
  • Variability in clinical presentation and imaging findings.

Audit Risk Factors

  • Inadequate documentation of drug history.
  • Failure to specify the affected area of the hand.
  • Misdiagnosis or confusion with osteomyelitis.
  • Lack of imaging studies to support diagnosis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed patient history including medication use, imaging results, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Orthopedic specialists must ensure that all relevant imaging and treatment details are documented to support the diagnosis.

Rheumatology

Documentation Requirements

Comprehensive medication history and assessment of underlying conditions contributing to osteonecrosis.

Common Clinical Scenarios

Patients with autoimmune disorders on long-term steroid therapy presenting with joint pain.

Billing Considerations

Rheumatologists should document the rationale for medication choices and any adjustments made in response to osteonecrosis.

Coding Guidelines

Inclusion Criteria

Use M87.143 When
  • According to ICD
  • 10 guidelines, M87
  • 143 should be used when osteonecrosis is confirmed to be drug
  • induced and the specific hand location is not specified
  • Coders must ensure that the diagnosis is supported by clinical documentation and imaging studies

Exclusion Criteria

Do NOT use M87.143 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 a patient with M87.143 requires joint aspiration for pain relief.

Documentation Requirements

Document the indication for the procedure and the patient's history.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, including drug-induced 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 more specific coding of osteonecrosis, including drug-induced cases. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, including drug-induced cases. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 osteonecrosis coded as M87.143?

The primary cause is the use of certain drugs that impair blood flow to the bone, leading to tissue death.