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ICD-10 Guide
ICD-10 CodesM87.274

M87.274

Billable

Osteonecrosis due to previous trauma, right foot

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

Code Description

ICD-10 M87.274 is a billable code used to indicate a diagnosis of osteonecrosis due to previous trauma, right foot.

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 M87.274, the osteonecrosis is specifically attributed to previous trauma to the right foot. This condition can occur after fractures, dislocations, or other significant injuries that compromise the blood supply to the bone. The affected area may experience pain, swelling, and limited mobility, which can lead to further complications such as osteomyelitis if the bone becomes infected. The right foot is particularly susceptible to osteonecrosis due to its complex anatomy and the weight-bearing nature of its bones. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of bone damage. Treatment options may include conservative management, such as rest and pain relief, or surgical interventions like core decompression or joint replacement in severe cases. Understanding the underlying cause of osteonecrosis is crucial for effective management and prevention of further orthopedic 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 the foot.

Audit Risk Factors

  • Inadequate documentation of prior trauma.
  • Misdiagnosis or confusion with osteomyelitis.
  • Failure to document the severity of the condition.
  • Lack of imaging studies to support diagnosis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Post-traumatic osteonecrosis following fractures or dislocations.

Billing Considerations

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

Radiology

Documentation Requirements

Imaging reports detailing the extent of osteonecrosis.

Common Clinical Scenarios

MRI findings indicating avascular necrosis.

Billing Considerations

Accurate interpretation of imaging studies is crucial for diagnosis.

Coding Guidelines

Inclusion Criteria

Use M87.274 When
  • According to ICD
  • 10 guidelines, M87
  • 274 should be used when there is clear documentation of osteonecrosis due to prior trauma
  • It is important to ensure that the diagnosis is supported by imaging and clinical findings

Exclusion Criteria

Do NOT use M87.274 When
  • Exclusion criteria include conditions that do not involve prior trauma

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 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 data collection and reimbursement processes. M87.274 provides specificity that was not available in ICD-9, enhancing clinical understanding and management of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the accuracy of data collection and reimbursement processes. M87.274 provides specificity that was not available in ICD-9, enhancing clinical understanding and management of the condition.

Reimbursement & Billing Impact

reimbursement processes. M87.274 provides specificity that was not available in ICD-9, enhancing clinical understanding and management of the condition.

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 M87.274?

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