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ICD-10 Guide
ICD-10 CodesM87.332

M87.332

Billable

Other secondary osteonecrosis of left radius

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

Code Description

ICD-10 M87.332 is a billable code used to indicate a diagnosis of other secondary osteonecrosis of left radius.

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 M87.332, the osteonecrosis is secondary, meaning it arises as a complication of another underlying condition, such as corticosteroid use, alcohol abuse, or certain diseases like lupus or sickle cell disease. The left radius is specifically affected, which can lead to significant orthopedic complications, including pain, limited range of motion, and potential fractures. Diagnosis typically involves imaging studies such as MRI or X-rays to assess the extent of bone damage. Treatment options may include conservative management, such as pain relief and physical therapy, or surgical interventions like core decompression or joint replacement, depending on the severity of the condition. Understanding the etiology and management of secondary osteonecrosis is crucial for accurate coding and appropriate patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of secondary causes of osteonecrosis.
  • Differentiation from primary osteonecrosis codes.
  • Need for precise documentation of underlying conditions.
  • Potential for multiple comorbidities affecting coding.

Audit Risk Factors

  • Inadequate documentation of the underlying cause.
  • Failure to specify laterality (left vs. right).
  • Misclassification of primary vs. secondary osteonecrosis.
  • Lack of imaging studies to support diagnosis.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of the patient's condition, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with joint pain, limited mobility, or previous corticosteroid use.

Billing Considerations

Ensure clear documentation of the cause of osteonecrosis and any surgical interventions performed.

Rheumatology

Documentation Requirements

Comprehensive assessment of underlying autoimmune conditions and their management.

Common Clinical Scenarios

Patients with systemic lupus erythematosus or other rheumatologic disorders presenting with bone pain.

Billing Considerations

Document the relationship between the underlying condition and the development of osteonecrosis.

Coding Guidelines

Inclusion Criteria

Use M87.332 When
  • According to ICD
  • 10 coding guidelines, M87
  • 332 should be used when osteonecrosis is confirmed as secondary to another condition
  • Coders must ensure that the underlying cause is documented and that the diagnosis is supported by imaging studies

Exclusion Criteria

Do NOT use M87.332 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 joint involved, the procedure performed, and the indication for the procedure.

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, enabling better tracking of secondary causes and improving the accuracy of patient records and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, enabling better tracking of secondary causes and improving the accuracy of patient records and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, enabling better tracking of secondary causes and improving the accuracy of patient records and treatment outcomes.

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 primary and secondary osteonecrosis?

Primary osteonecrosis occurs without an identifiable cause, while secondary osteonecrosis is a result of other medical conditions or factors, such as corticosteroid use or trauma.