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ICD-10 Guide
ICD-10 CodesM87.362

M87.362

Billable

Other secondary osteonecrosis, left tibia

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

Code Description

ICD-10 M87.362 is a billable code used to indicate a diagnosis of other secondary osteonecrosis, left tibia.

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 M87.362, the condition specifically affects the left tibia and is classified as secondary osteonecrosis, meaning it arises as a consequence of other underlying conditions or factors. Common causes of secondary osteonecrosis include prolonged corticosteroid use, excessive alcohol consumption, trauma, and certain medical conditions such as sickle cell disease or systemic lupus erythematosus. Patients may present with symptoms such as localized pain, swelling, and limited range of motion in the affected limb. 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, physical therapy, or surgical interventions such as core decompression or joint replacement in severe cases. Understanding the etiology and management of osteonecrosis is crucial for effective treatment and prevention of complications, including potential progression to osteomyelitis if the bone becomes infected.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary osteonecrosis
  • Identifying underlying conditions contributing to osteonecrosis
  • Need for precise documentation of symptoms and imaging results
  • Potential for co-morbid conditions affecting treatment and coding

Audit Risk Factors

  • Inadequate documentation of underlying conditions
  • Failure to specify the affected limb
  • Misclassification of osteonecrosis as osteomyelitis
  • Lack of imaging results in the medical record

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on patient history, imaging studies, and treatment plans are essential.

Common Clinical Scenarios

Patients presenting with joint pain, history of steroid use, or trauma.

Billing Considerations

Orthopedic surgeons must document the extent of bone involvement and any surgical interventions performed.

Rheumatology

Documentation Requirements

Comprehensive assessment of systemic conditions that may contribute to osteonecrosis.

Common Clinical Scenarios

Patients with autoimmune disorders presenting with joint pain.

Billing Considerations

Rheumatologists should document the relationship between systemic disease and osteonecrosis.

Coding Guidelines

Inclusion Criteria

Use M87.362 When
  • According to ICD
  • 10 guidelines, M87
  • 362 should be used when osteonecrosis is confirmed through imaging and is secondary to other conditions
  • Coders must ensure that the left tibia is specified and that any underlying causes are documented appropriately

Exclusion Criteria

Do NOT use M87.362 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 and the reason for the procedure.

Specialty Considerations

Orthopedic specialists should note the patient's response to the procedure.

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 effectively. M87.362 provides granularity that aids in understanding the prevalence and treatment outcomes of secondary osteonecrosis.

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 effectively. M87.362 provides granularity that aids in understanding the prevalence and treatment outcomes of secondary osteonecrosis.

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 effectively. M87.362 provides granularity that aids in understanding the prevalence and treatment outcomes of secondary osteonecrosis.

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 corticosteroid use, alcohol abuse, trauma, and certain medical conditions like sickle cell disease and lupus.