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ICD-10 Guide
ICD-10 CodesM87.30

M87.30

Billable

Other secondary osteonecrosis, unspecified bone

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

Code Description

ICD-10 M87.30 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, unspecified bone.

Key Diagnostic Point:

Other secondary osteonecrosis refers to the death of bone tissue due to a lack of blood supply, which can occur as a result of various underlying conditions or factors. This condition can affect any bone in the body, but it is often seen in the femur, humerus, and knee. Secondary osteonecrosis can be caused by trauma, corticosteroid use, excessive alcohol consumption, or certain medical conditions such as sickle cell disease or systemic lupus erythematosus. 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, which can reveal changes in bone density and structure. Treatment options may include pain management, physical therapy, and in severe cases, surgical intervention such as joint replacement. Accurate coding is essential for proper treatment planning and reimbursement, as well as for tracking the incidence of this condition in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to osteonecrosis
  • Need for precise documentation of the patient's medical history
  • Differentiation from other bone conditions such as osteomyelitis
  • Potential for multiple affected sites requiring detailed coding

Audit Risk Factors

  • Inadequate documentation of the underlying cause of osteonecrosis
  • Failure to specify the affected bone site
  • Incorrect coding of related conditions such as osteomyelitis
  • Lack of supporting imaging studies in the medical record

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on the patient's history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with hip or knee pain, particularly those with a history of corticosteroid use or trauma.

Billing Considerations

Ensure that the documentation clearly states the diagnosis and any relevant comorbidities.

Rheumatology

Documentation Requirements

Comprehensive documentation of systemic conditions that may contribute to osteonecrosis, including lab results and treatment history.

Common Clinical Scenarios

Patients with autoimmune disorders presenting with joint pain and risk factors for osteonecrosis.

Billing Considerations

Document any medications that may contribute to the condition, such as corticosteroids.

Coding Guidelines

Inclusion Criteria

Use M87.30 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the specific cause of osteonecrosis is not documented
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use M87.30 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 osteonecrosis requires joint aspiration for pain relief.

Documentation Requirements

Document the indication for the procedure and any findings during aspiration.

Specialty Considerations

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

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 ability to track and manage this condition. M87.30 provides a way to code for cases where the specific bone is not identified, ensuring that patients receive appropriate care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the ability to track and manage this condition. M87.30 provides a way to code for cases where the specific bone is not identified, ensuring that patients receive appropriate care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, improving the ability to track and manage this condition. M87.30 provides a way to code for cases where the specific bone is not identified, ensuring that patients receive appropriate 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 difference between osteonecrosis and osteomyelitis?

Osteonecrosis is the death of bone tissue due to lack of blood supply, while osteomyelitis is an infection of the bone. They have different causes, symptoms, and treatment approaches.