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ICD-10 Guide
ICD-10 CodesM87.152

M87.152

Billable

Osteonecrosis due to drugs, left femur

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

Code Description

ICD-10 M87.152 is a billable code used to indicate a diagnosis of osteonecrosis due to drugs, left femur.

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 M87.152, the osteonecrosis is specifically attributed to drug use, which can include corticosteroids, alcohol, and certain chemotherapy agents. The left femur is the specific site affected, which is crucial for mobility and weight-bearing activities. Patients may present with symptoms such as pain in the hip or groin, limited range of motion, and difficulty bearing weight. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Treatment options vary based on the severity of the condition and may include conservative management, such as physical therapy and pain management, or surgical interventions like core decompression or joint replacement. Understanding the etiology, clinical presentation, and treatment options is essential for accurate coding and management of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of drug-induced conditions
  • Differentiation from other types of osteonecrosis
  • Specificity of anatomical location (left femur)
  • Potential for multiple underlying causes

Audit Risk Factors

  • Inadequate documentation of drug history
  • Failure to specify the affected anatomical site
  • Lack of imaging results to support diagnosis
  • Misclassification of osteonecrosis type

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant imaging and treatment documentation is included to support the diagnosis.

Rheumatology

Documentation Requirements

Comprehensive medication history and assessment of underlying conditions.

Common Clinical Scenarios

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

Billing Considerations

Document the relationship between drug therapy and osteonecrosis clearly.

Coding Guidelines

Inclusion Criteria

Use M87.152 When
  • According to ICD
  • 10 guidelines, M87
  • 152 should be used when osteonecrosis is specifically due to drug use and affects the left femur
  • Coders must ensure that the documentation supports the diagnosis and that the drug
  • related etiology is clearly stated

Exclusion Criteria

Do NOT use M87.152 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 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 helps in better tracking of conditions and outcomes, leading to improved patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, including drug-induced cases. This specificity helps in better tracking of conditions and outcomes, leading to improved patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, including drug-induced cases. This specificity helps in better tracking of conditions and outcomes, leading to improved patient care.

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 in this code?

The primary cause of osteonecrosis in this code is drug use, particularly corticosteroids and certain chemotherapy agents.