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v1.0.0
ICD-10 Guide
ICD-10 CodesM87.34

M87.34

Billable

Other secondary osteonecrosis, hand and fingers

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

Code Description

ICD-10 M87.34 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, hand and fingers.

Key Diagnostic Point:

M87.34 refers to a specific type of osteonecrosis that occurs in the hand and fingers, classified as secondary osteonecrosis. This condition arises when blood supply to the bone is disrupted, leading to bone tissue death. Secondary osteonecrosis can result from various factors, including trauma, corticosteroid use, alcohol abuse, and certain medical conditions such as sickle cell disease or systemic lupus erythematosus. In the hand and fingers, osteonecrosis can lead to significant pain, limited range of motion, and functional impairment. Patients may present with symptoms such as swelling, tenderness, and stiffness in the affected areas. Diagnosis typically involves imaging studies like X-rays or MRI to assess bone integrity and identify areas of necrosis. Treatment options may include conservative management with pain relief, physical therapy, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary osteonecrosis
  • Identifying the underlying cause of osteonecrosis
  • Documenting specific anatomical locations (hand and fingers)
  • Understanding the implications of associated conditions

Audit Risk Factors

  • Inadequate documentation of the underlying cause of osteonecrosis
  • Failure to specify the affected anatomical site
  • Misclassification of primary vs. secondary osteonecrosis
  • Lack of supporting imaging studies in the medical record

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 pain in the hand or fingers, particularly after trauma or corticosteroid use.

Billing Considerations

Ensure that the cause of osteonecrosis is clearly documented to support the use of M87.34.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic conditions contributing to osteonecrosis.

Common Clinical Scenarios

Patients with autoimmune diseases presenting with joint pain and potential osteonecrosis.

Billing Considerations

Document any relevant laboratory findings or disease activity indicators.

Coding Guidelines

Inclusion Criteria

Use M87.34 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the osteonecrosis is confirmed to be secondary
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use M87.34 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 joint involved, reason for the procedure, and any imaging studies.

Specialty Considerations

Orthopedic specialists should ensure clear documentation of the patient's condition and treatment rationale.

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.

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.

Reimbursement & Billing Impact

reimbursement and compliance.

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 are the common causes of secondary osteonecrosis?

Common causes include trauma, corticosteroid use, alcohol abuse, and systemic diseases such as lupus or sickle cell disease.