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ICD-10 Guide
ICD-10 CodesM87.352

M87.352

Billable

Other secondary osteonecrosis, left femur

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

Code Description

ICD-10 M87.352 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, left femur.

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 M87.352, the osteonecrosis is secondary, meaning it is a result of another underlying condition or factor, such as trauma, corticosteroid use, or excessive alcohol consumption. The left femur is specifically affected, which can lead to significant pain, limited mobility, and potential complications such as fractures or joint collapse. Patients may present with symptoms including hip pain, difficulty bearing weight, and a decreased range of motion. Diagnosis typically involves imaging studies such as MRI or X-rays, which can reveal changes in bone density and structure. Treatment options may include conservative management with pain relief and physical therapy, or surgical interventions such as core decompression or joint replacement, depending on the severity of the condition. Understanding the etiology and management of secondary osteonecrosis is crucial for effective treatment and rehabilitation.

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 accurately
  • Understanding the implications of co-existing conditions

Audit Risk Factors

  • Inadequate documentation of the underlying cause of osteonecrosis
  • Failure to specify the affected anatomical site
  • Misclassification of osteonecrosis as osteomyelitis
  • Lack of imaging documentation to support diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, surgical notes, and treatment plans.

Common Clinical Scenarios

Patients presenting with hip pain and a history of corticosteroid use or trauma.

Billing Considerations

Ensure accurate documentation of the severity and stage of osteonecrosis.

Rheumatology

Documentation Requirements

Comprehensive patient history, including autoimmune conditions and medication use.

Common Clinical Scenarios

Patients with systemic diseases leading to secondary osteonecrosis.

Billing Considerations

Document any comorbid conditions that may contribute to osteonecrosis.

Coding Guidelines

Inclusion Criteria

Use M87.352 When
  • According to the official coding guidelines, M87
  • 352 should be used when the osteonecrosis is confirmed to be secondary to another condition
  • Coders must ensure that the underlying cause is documented and that the left femur is specified as the affected site

Exclusion Criteria

Do NOT use M87.352 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 joint involved.

Specialty Considerations

Orthopedic specialists should ensure proper coding for joint injections.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding osteonecrosis, enabling better tracking of secondary causes and improving patient care through targeted treatment strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding osteonecrosis, enabling better tracking of secondary causes and improving patient care through targeted treatment strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding osteonecrosis, enabling better tracking of secondary causes and improving patient care through targeted treatment strategies.

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 due to other conditions such as trauma, corticosteroid use, or systemic diseases.