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ICD-10 Guide
ICD-10 CodesM87.343

M87.343

Billable

Other secondary osteonecrosis, unspecified hand

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

Code Description

ICD-10 M87.343 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, unspecified hand.

Key Diagnostic Point:

M87.343 refers to a condition characterized by the death of bone tissue in the hand due to a lack of blood supply, which is classified as secondary osteonecrosis. This condition can arise from various underlying factors, including trauma, corticosteroid use, alcohol abuse, or systemic diseases such as lupus or sickle cell disease. The unspecified nature of the hand indicates that the exact location within the hand is not detailed, which can complicate treatment and management. Patients may present with pain, swelling, and limited range of motion in the affected hand. Diagnosis typically involves imaging studies such as X-rays or MRI to assess bone integrity and identify necrotic areas. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or bone grafting, depending on the severity and progression of the condition. Understanding the etiology and appropriate management strategies is crucial for effective treatment and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes leading to secondary osteonecrosis.
  • Need for precise documentation of the patient's history and risk factors.
  • Differentiation from other similar conditions such as osteomyelitis.
  • Unspecified nature of the hand complicates coding for specific locations.

Audit Risk Factors

  • Inadequate documentation of the underlying cause of osteonecrosis.
  • Failure to specify the affected area of the hand.
  • Misclassification of osteonecrosis as osteomyelitis.
  • 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 hand pain and limited mobility, often following corticosteroid use or trauma.

Billing Considerations

Ensure clear documentation of the etiology of osteonecrosis to support coding.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic diseases contributing to osteonecrosis.

Common Clinical Scenarios

Patients with autoimmune disorders presenting with joint pain and osteonecrosis.

Billing Considerations

Documenting the relationship between systemic conditions and osteonecrosis is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use M87.343 When
  • According to ICD
  • 10 coding guidelines, M87
  • 343 should be used when the osteonecrosis is secondary and the specific cause is not documented
  • Coders must ensure that the medical record supports the diagnosis and that all relevant factors are considered

Exclusion Criteria

Do NOT use M87.343 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 the patient's response.

Specialty Considerations

Orthopedic specialists may perform this procedure for symptomatic relief.

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 the condition's prevalence and treatment outcomes. M87.343 provides a clear designation for secondary osteonecrosis, which aids in research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, enabling better tracking of the condition's prevalence and treatment outcomes. M87.343 provides a clear designation for secondary osteonecrosis, which aids in research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of osteonecrosis, enabling better tracking of the condition's prevalence and treatment outcomes. M87.343 provides a clear designation for secondary osteonecrosis, which aids in research and quality improvement initiatives.

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.

How is osteonecrosis diagnosed?

Diagnosis is typically made through imaging studies such as X-rays or MRI, which can reveal areas of necrosis in the bone.

What are the treatment options for osteonecrosis?

Treatment options range from conservative management with pain relief and physical therapy to surgical interventions like core decompression or bone grafting.