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ICD-10 Guide
ICD-10 CodesM87.262

M87.262

Billable

Osteonecrosis due to previous trauma, left tibia

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

Code Description

ICD-10 M87.262 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, left tibia.

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 M87.262, the osteonecrosis is specifically attributed to previous trauma affecting the left tibia. This condition often arises after fractures, dislocations, or other significant injuries that compromise the vascular supply to the bone. The left tibia, being a weight-bearing bone, is particularly susceptible to the consequences of osteonecrosis, which can lead to severe pain, limited mobility, and potential joint collapse if not addressed promptly. Clinically, patients may present with symptoms such as localized pain, swelling, and tenderness over the affected area, which may worsen with activity. Diagnosis typically involves imaging studies such as MRI or X-rays to assess the extent of bone damage and to rule out other conditions like osteomyelitis or bone infections. Treatment options may include conservative management, such as pain relief and physical therapy, or surgical interventions like core decompression or joint replacement in advanced cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of the relationship between trauma and osteonecrosis.
  • Differentiation from other bone conditions like osteomyelitis.
  • Need for precise documentation of prior trauma.
  • Potential for co-morbid conditions affecting coding.

Audit Risk Factors

  • Inadequate documentation of prior trauma.
  • Failure to specify the affected limb.
  • Misclassification of osteonecrosis as osteomyelitis.
  • Lack of imaging studies in the medical record.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of trauma, imaging results, and treatment plans.

Common Clinical Scenarios

Post-traumatic osteonecrosis following tibial fractures or surgeries.

Billing Considerations

Ensure clear documentation of the mechanism of injury and subsequent treatment.

Radiology

Documentation Requirements

Imaging reports indicating the presence of osteonecrosis and any differential diagnoses.

Common Clinical Scenarios

MRI findings of avascular necrosis in patients with a history of trauma.

Billing Considerations

Accurate interpretation of imaging studies is crucial for proper coding.

Coding Guidelines

Inclusion Criteria

Use M87.262 When
  • According to ICD
  • 10 guidelines, M87
  • 262 should be used when osteonecrosis is directly linked to previous trauma
  • Coders must ensure that the documentation supports the diagnosis and that the specific site is accurately recorded

Exclusion Criteria

Do NOT use M87.262 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 osteonecrosis cases.

Documentation Requirements

Document the indication for the procedure and the joint involved.

Specialty Considerations

Orthopedic specialists often perform this procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the accuracy of patient records and treatment plans. M87.262 provides a clear link between trauma and the resulting condition, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the accuracy of patient records and treatment plans. M87.262 provides a clear link between trauma and the resulting condition, facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the accuracy of patient records and treatment plans. M87.262 provides a clear link between trauma and the resulting condition, facilitating better patient management.

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 M87.262?

The primary cause of osteonecrosis in this code is previous trauma that disrupts blood supply to the left tibia, leading to bone tissue death.