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ICD-10 Guide
ICD-10 CodesM87.271

M87.271

Billable

Osteonecrosis due to previous trauma, right ankle

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

Code Description

ICD-10 M87.271 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, right ankle.

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 M87.271, the osteonecrosis is specifically attributed to previous trauma to the right ankle. This condition often arises after fractures, dislocations, or other significant injuries that compromise the blood flow to the bone. The right ankle is particularly susceptible due to its complex anatomy and the weight-bearing nature of the joint. Symptoms may include pain, swelling, and limited range of motion, which can significantly impact a patient's mobility and quality of life. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage and to rule out other conditions like osteomyelitis or arthritis. Treatment options may vary from conservative management, including pain relief and physical therapy, to surgical interventions such as core decompression or joint replacement in advanced cases. 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

  • 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 treatment and coding.

Audit Risk Factors

  • Inadequate documentation of prior trauma.
  • Misclassification of osteonecrosis as osteomyelitis.
  • Failure to document the specific site of osteonecrosis.
  • Inconsistent coding of related conditions.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Post-traumatic osteonecrosis following ankle fractures or sprains.

Billing Considerations

Ensure clear documentation of the mechanism of injury and any surgical interventions.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments and rehabilitation plans post-injury.

Common Clinical Scenarios

Rehabilitation following surgical intervention for osteonecrosis.

Billing Considerations

Documenting the impact of osteonecrosis on functional mobility and quality of life.

Coding Guidelines

Inclusion Criteria

Use M87.271 When
  • According to ICD
  • 10 guidelines, M87
  • 271 should be used when there is clear documentation of osteonecrosis due to previous trauma specifically affecting the right ankle
  • It is important to ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use M87.271 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 performed.

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 osteonecrosis, improving the accuracy of data collection and reimbursement processes. M87.271 provides a clear distinction based on the cause and location of the condition, which is essential for effective treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like osteonecrosis, improving the accuracy of data collection and reimbursement processes. M87.271 provides a clear distinction based on the cause and location of the condition, which is essential for effective treatment planning.

Reimbursement & Billing Impact

reimbursement processes. M87.271 provides a clear distinction based on the cause and location of the condition, which is essential for effective treatment planning.

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 coded as M87.271 is previous trauma to the right ankle, which disrupts blood supply to the bone.