Osteonecrosis M87- >

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify major osseous defect, if applicable (
    ICD-10-CM Diagnosis Code M89.7

    Major osseous defect

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code First
    • underlying disease, if known, such as:
    • aseptic necrosis of bone (M87.-)
    • malignant neoplasm of bone (C40.-)
    • osteolysis (M89.5)
    • osteomyelitis (M86.-)
    • osteonecrosis (M87.-)
    • osteoporosis (M80.-, M81.-)
    • periprosthetic osteolysis (T84.05-)
    M89.7-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M87. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • juvenile osteonecrosis (
    ICD-10-CM Diagnosis Code M91

    Juvenile osteochondrosis of hip and pelvis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • slipped upper femoral epiphysis (nontraumatic) (M93.0)
    M91
    -
    ICD-10-CM Diagnosis Code M92

    Other juvenile osteochondrosis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    M92
    )
  • osteochondropathies (
    ICD-10-CM Diagnosis Code M90

    Osteopathies in diseases classified elsewhere

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • osteochondritis, osteomyelitis, and osteopathy (in):
    • cryptococcosis (B45.3)
    • diabetes mellitus (E08-E13 with .69-)
    • gonococcal (A54.43)
    • neurogenic syphilis (A52.11)
    • renal osteodystrophy (N25.0)
    • salmonellosis (A02.24)
    • secondary syphilis (A51.46)
    • syphilis (late) (A52.77)
    M90
    -
    ICD-10-CM Diagnosis Code M93

    Other osteochondropathies

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • osteochondrosis of spine (M42.-)
    M93
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • avascular necrosis of bone
Clinical Information
  • A disorder characterized by necrotic changes in the bone tissue due to interruption of blood supply. Most often affecting the epiphysis of the long bones, the necrotic changes result in the collapse and the destruction of the bone structure.
  • Death of a bone or part of a bone
  • Death of a bone or part of a bone, either atraumatic or posttraumatic.
  • Death of bone tissue caused by loss of blood supply to the bone
  • Death of bone tissue due to traumatic or nontraumatic causes.
  • Necrotic changes in the bone tissue due to interruption of blood supply. Most often affecting the epiphysis of the long bones, the necrotic changes result in the collapse and the destruction of the bone structure.
  • Osteonecrosis occurs when your bones lose their blood supply. The bones die and eventually collapse, leading to pain and arthritis. You can have osteonecrosis in one or several bones. It is most common in the upper leg. Other common sites are your upper arm and your knees, shoulders and ankles. The disease can affect men and women of any age, but it usually strikes in your thirties, forties or fifties. Early in the disease you might not have any symptoms. Later, you will probably have joint pain that becomes more severe as the disease gets worse. No one is sure what causes the disease. Risk factors include
    • long-term steroid treatment
    • alcohol abuse
    • joint injuries
    • having certain diseases, including arthritis and cancer
    treatments include medicines, using crutches, limiting activities that put weight on the affected joints, electrical stimulation and surgery. nih: national institute of arthritis and musculoskeletal and skin diseases
Codes
  • M87 Osteonecrosis
    • M87.0 Idiopathic aseptic necrosis of bone
      • M87.00 Idiopathic aseptic necrosis of unspecified bone
      • M87.01 Idiopathic aseptic necrosis of shoulder
        • M87.011 Idiopathic aseptic necrosis of right shoulder
        • M87.012 Idiopathic aseptic necrosis of left shoulder
        • M87.019 Idiopathic aseptic necrosis of unspecified shoulder
      • M87.02 Idiopathic aseptic necrosis of humerus
        • M87.021 Idiopathic aseptic necrosis of right humerus
        • M87.022 Idiopathic aseptic necrosis of left humerus
        • M87.029 Idiopathic aseptic necrosis of unspecified humerus
      • M87.03 Idiopathic aseptic necrosis of radius, ulna and carpus
        • M87.031 Idiopathic aseptic necrosis of right radius
        • M87.032 Idiopathic aseptic necrosis of left radius
        • M87.033 Idiopathic aseptic necrosis of unspecified radius
        • M87.034 Idiopathic aseptic necrosis of right ulna
        • M87.035 Idiopathic aseptic necrosis of left ulna
        • M87.036 Idiopathic aseptic necrosis of unspecified ulna
        • M87.037 Idiopathic aseptic necrosis of right carpus
        • M87.038 Idiopathic aseptic necrosis of left carpus
        • M87.039 Idiopathic aseptic necrosis of unspecified carpus
      • M87.04 Idiopathic aseptic necrosis of hand and fingers
        • M87.041 Idiopathic aseptic necrosis of right hand
        • M87.042 Idiopathic aseptic necrosis of left hand
        • M87.043 Idiopathic aseptic necrosis of unspecified hand
        • M87.044 Idiopathic aseptic necrosis of right finger(s)
        • M87.045 Idiopathic aseptic necrosis of left finger(s)
        • M87.046 Idiopathic aseptic necrosis of unspecified finger(s)
      • M87.05 Idiopathic aseptic necrosis of pelvis and femur
        • M87.050 Idiopathic aseptic necrosis of pelvis
        • M87.051 Idiopathic aseptic necrosis of right femur
        • M87.052 Idiopathic aseptic necrosis of left femur
        • M87.059 Idiopathic aseptic necrosis of unspecified femur
      • M87.06 Idiopathic aseptic necrosis of tibia and fibula
        • M87.061 Idiopathic aseptic necrosis of right tibia
        • M87.062 Idiopathic aseptic necrosis of left tibia
        • M87.063 Idiopathic aseptic necrosis of unspecified tibia
        • M87.064 Idiopathic aseptic necrosis of right fibula
        • M87.065 Idiopathic aseptic necrosis of left fibula
        • M87.066 Idiopathic aseptic necrosis of unspecified fibula
      • M87.07 Idiopathic aseptic necrosis of ankle, foot and toes
        • M87.071 Idiopathic aseptic necrosis of right ankle
        • M87.072 Idiopathic aseptic necrosis of left ankle
        • M87.073 Idiopathic aseptic necrosis of unspecified ankle
        • M87.074 Idiopathic aseptic necrosis of right foot
        • M87.075 Idiopathic aseptic necrosis of left foot
        • M87.076 Idiopathic aseptic necrosis of unspecified foot
        • M87.077 Idiopathic aseptic necrosis of right toe(s)
        • M87.078 Idiopathic aseptic necrosis of left toe(s)
        • M87.079 Idiopathic aseptic necrosis of unspecified toe(s)
      • M87.08 …… other site
      • M87.09 …… multiple sites
    • M87.1 Osteonecrosis due to drugs
      • M87.10 …… unspecified bone
      • M87.11 Osteonecrosis due to drugs, shoulder
        • M87.111 Osteonecrosis due to drugs, right shoulder
        • M87.112 Osteonecrosis due to drugs, left shoulder
        • M87.119 Osteonecrosis due to drugs, unspecified shoulder
      • M87.12 Osteonecrosis due to drugs, humerus
        • M87.121 Osteonecrosis due to drugs, right humerus
        • M87.122 Osteonecrosis due to drugs, left humerus
        • M87.129 Osteonecrosis due to drugs, unspecified humerus
      • M87.13 Osteonecrosis due to drugs of radius, ulna and carpus
        • M87.131 Osteonecrosis due to drugs of right radius
        • M87.132 Osteonecrosis due to drugs of left radius
        • M87.133 Osteonecrosis due to drugs of unspecified radius
        • M87.134 Osteonecrosis due to drugs of right ulna
        • M87.135 Osteonecrosis due to drugs of left ulna
        • M87.136 Osteonecrosis due to drugs of unspecified ulna
        • M87.137 Osteonecrosis due to drugs of right carpus
        • M87.138 Osteonecrosis due to drugs of left carpus
        • M87.139 Osteonecrosis due to drugs of unspecified carpus
      • M87.14 Osteonecrosis due to drugs, hand and fingers
        • M87.141 Osteonecrosis due to drugs, right hand
        • M87.142 Osteonecrosis due to drugs, left hand
        • M87.143 Osteonecrosis due to drugs, unspecified hand
        • M87.144 Osteonecrosis due to drugs, right finger(s)
        • M87.145 Osteonecrosis due to drugs, left finger(s)
        • M87.146 Osteonecrosis due to drugs, unspecified finger(s)
      • M87.15 Osteonecrosis due to drugs, pelvis and femur
        • M87.150 Osteonecrosis due to drugs, pelvis
        • M87.151 Osteonecrosis due to drugs, right femur
        • M87.152 Osteonecrosis due to drugs, left femur
        • M87.159 Osteonecrosis due to drugs, unspecified femur
      • M87.16 Osteonecrosis due to drugs, tibia and fibula
        • M87.161 Osteonecrosis due to drugs, right tibia
        • M87.162 Osteonecrosis due to drugs, left tibia
        • M87.163 Osteonecrosis due to drugs, unspecified tibia
        • M87.164 Osteonecrosis due to drugs, right fibula
        • M87.165 Osteonecrosis due to drugs, left fibula
        • M87.166 Osteonecrosis due to drugs, unspecified fibula
      • M87.17 Osteonecrosis due to drugs, ankle, foot and toes
        • M87.171 Osteonecrosis due to drugs, right ankle
        • M87.172 Osteonecrosis due to drugs, left ankle
        • M87.173 Osteonecrosis due to drugs, unspecified ankle
        • M87.174 Osteonecrosis due to drugs, right foot
        • M87.175 Osteonecrosis due to drugs, left foot
        • M87.176 Osteonecrosis due to drugs, unspecified foot
        • M87.177 Osteonecrosis due to drugs, right toe(s)
        • M87.178 Osteonecrosis due to drugs, left toe(s)
        • M87.179 Osteonecrosis due to drugs, unspecified toe(s)
      • M87.18 Osteonecrosis due to drugs, other site
        • M87.180 Osteonecrosis due to drugs, jaw
        • M87.188 Osteonecrosis due to drugs, other site
      • M87.19 …… multiple sites
    • M87.2 Osteonecrosis due to previous trauma
      • M87.20 …… unspecified bone
      • M87.21 Osteonecrosis due to previous trauma, shoulder
        • M87.211 Osteonecrosis due to previous trauma, right shoulder
        • M87.212 Osteonecrosis due to previous trauma, left shoulder
        • M87.219 Osteonecrosis due to previous trauma, unspecified shoulder
      • M87.22 Osteonecrosis due to previous trauma, humerus
        • M87.221 Osteonecrosis due to previous trauma, right humerus
        • M87.222 Osteonecrosis due to previous trauma, left humerus
        • M87.229 Osteonecrosis due to previous trauma, unspecified humerus
      • M87.23 Osteonecrosis due to previous trauma of radius, ulna and carpus
        • M87.231 Osteonecrosis due to previous trauma of right radius
        • M87.232 Osteonecrosis due to previous trauma of left radius
        • M87.233 Osteonecrosis due to previous trauma of unspecified radius
        • M87.234 Osteonecrosis due to previous trauma of right ulna
        • M87.235 Osteonecrosis due to previous trauma of left ulna
        • M87.236 Osteonecrosis due to previous trauma of unspecified ulna
        • M87.237 Osteonecrosis due to previous trauma of right carpus
        • M87.238 Osteonecrosis due to previous trauma of left carpus
        • M87.239 Osteonecrosis due to previous trauma of unspecified carpus
      • M87.24 Osteonecrosis due to previous trauma, hand and fingers
        • M87.241 Osteonecrosis due to previous trauma, right hand
        • M87.242 Osteonecrosis due to previous trauma, left hand
        • M87.243 Osteonecrosis due to previous trauma, unspecified hand
        • M87.244 Osteonecrosis due to previous trauma, right finger(s)
        • M87.245 Osteonecrosis due to previous trauma, left finger(s)
        • M87.246 Osteonecrosis due to previous trauma, unspecified finger(s)
      • M87.25 Osteonecrosis due to previous trauma, pelvis and femur
        • M87.250 Osteonecrosis due to previous trauma, pelvis
        • M87.251 Osteonecrosis due to previous trauma, right femur
        • M87.252 Osteonecrosis due to previous trauma, left femur
        • M87.256 Osteonecrosis due to previous trauma, unspecified femur
      • M87.26 Osteonecrosis due to previous trauma, tibia and fibula
        • M87.261 Osteonecrosis due to previous trauma, right tibia
        • M87.262 Osteonecrosis due to previous trauma, left tibia
        • M87.263 Osteonecrosis due to previous trauma, unspecified tibia
        • M87.264 Osteonecrosis due to previous trauma, right fibula
        • M87.265 Osteonecrosis due to previous trauma, left fibula
        • M87.266 Osteonecrosis due to previous trauma, unspecified fibula
      • M87.27 Osteonecrosis due to previous trauma, ankle, foot and toes
        • M87.271 Osteonecrosis due to previous trauma, right ankle
        • M87.272 Osteonecrosis due to previous trauma, left ankle
        • M87.273 Osteonecrosis due to previous trauma, unspecified ankle
        • M87.274 Osteonecrosis due to previous trauma, right foot
        • M87.275 Osteonecrosis due to previous trauma, left foot
        • M87.276 Osteonecrosis due to previous trauma, unspecified foot
        • M87.277 Osteonecrosis due to previous trauma, right toe(s)
        • M87.278 Osteonecrosis due to previous trauma, left toe(s)
        • M87.279 Osteonecrosis due to previous trauma, unspecified toe(s)
      • M87.28 …… other site
      • M87.29 …… multiple sites
    • M87.3 Other secondary osteonecrosis
      • M87.30 …… unspecified bone
      • M87.31 Other secondary osteonecrosis, shoulder
        • M87.311 Other secondary osteonecrosis, right shoulder
        • M87.312 Other secondary osteonecrosis, left shoulder
        • M87.319 Other secondary osteonecrosis, unspecified shoulder
      • M87.32 Other secondary osteonecrosis, humerus
        • M87.321 Other secondary osteonecrosis, right humerus
        • M87.322 Other secondary osteonecrosis, left humerus
        • M87.329 Other secondary osteonecrosis, unspecified humerus
      • M87.33 Other secondary osteonecrosis of radius, ulna and carpus
        • M87.331 Other secondary osteonecrosis of right radius
        • M87.332 Other secondary osteonecrosis of left radius
        • M87.333 Other secondary osteonecrosis of unspecified radius
        • M87.334 Other secondary osteonecrosis of right ulna
        • M87.335 Other secondary osteonecrosis of left ulna
        • M87.336 Other secondary osteonecrosis of unspecified ulna
        • M87.337 Other secondary osteonecrosis of right carpus
        • M87.338 Other secondary osteonecrosis of left carpus
        • M87.339 Other secondary osteonecrosis of unspecified carpus
      • M87.34 Other secondary osteonecrosis, hand and fingers
        • M87.341 Other secondary osteonecrosis, right hand
        • M87.342 Other secondary osteonecrosis, left hand
        • M87.343 Other secondary osteonecrosis, unspecified hand
        • M87.344 Other secondary osteonecrosis, right finger(s)
        • M87.345 Other secondary osteonecrosis, left finger(s)
        • M87.346 Other secondary osteonecrosis, unspecified finger(s)
      • M87.35 Other secondary osteonecrosis, pelvis and femur
        • M87.350 Other secondary osteonecrosis, pelvis
        • M87.351 Other secondary osteonecrosis, right femur
        • M87.352 Other secondary osteonecrosis, left femur
        • M87.353 Other secondary osteonecrosis, unspecified femur
      • M87.36 Other secondary osteonecrosis, tibia and fibula
        • M87.361 Other secondary osteonecrosis, right tibia
        • M87.362 Other secondary osteonecrosis, left tibia
        • M87.363 Other secondary osteonecrosis, unspecified tibia
        • M87.364 Other secondary osteonecrosis, right fibula
        • M87.365 Other secondary osteonecrosis, left fibula
        • M87.366 Other secondary osteonecrosis, unspecified fibula
      • M87.37 Other secondary osteonecrosis, ankle and foot
        • M87.371 Other secondary osteonecrosis, right ankle
        • M87.372 Other secondary osteonecrosis, left ankle
        • M87.373 Other secondary osteonecrosis, unspecified ankle
        • M87.374 Other secondary osteonecrosis, right foot
        • M87.375 Other secondary osteonecrosis, left foot
        • M87.376 Other secondary osteonecrosis, unspecified foot
        • M87.377 Other secondary osteonecrosis, right toe(s)
        • M87.378 Other secondary osteonecrosis, left toe(s)
        • M87.379 Other secondary osteonecrosis, unspecified toe(s)
      • M87.38 …… other site
      • M87.39 …… multiple sites
    • M87.8 Other osteonecrosis
      • M87.80 …… unspecified bone
      • M87.81 Other osteonecrosis, shoulder
        • M87.811 Other osteonecrosis, right shoulder
        • M87.812 Other osteonecrosis, left shoulder
        • M87.819 Other osteonecrosis, unspecified shoulder
      • M87.82 Other osteonecrosis, humerus
        • M87.821 Other osteonecrosis, right humerus
        • M87.822 Other osteonecrosis, left humerus
        • M87.829 Other osteonecrosis, unspecified humerus
      • M87.83 Other osteonecrosis of radius, ulna and carpus
        • M87.831 Other osteonecrosis of right radius
        • M87.832 Other osteonecrosis of left radius
        • M87.833 Other osteonecrosis of unspecified radius
        • M87.834 Other osteonecrosis of right ulna
        • M87.835 Other osteonecrosis of left ulna
        • M87.836 Other osteonecrosis of unspecified ulna
        • M87.837 Other osteonecrosis of right carpus
        • M87.838 Other osteonecrosis of left carpus
        • M87.839 Other osteonecrosis of unspecified carpus
      • M87.84 Other osteonecrosis, hand and fingers
        • M87.841 Other osteonecrosis, right hand
        • M87.842 Other osteonecrosis, left hand
        • M87.843 Other osteonecrosis, unspecified hand
        • M87.844 Other osteonecrosis, right finger(s)
        • M87.845 Other osteonecrosis, left finger(s)
        • M87.849 Other osteonecrosis, unspecified finger(s)
      • M87.85 Other osteonecrosis, pelvis and femur
        • M87.850 Other osteonecrosis, pelvis
        • M87.851 Other osteonecrosis, right femur
        • M87.852 Other osteonecrosis, left femur
        • M87.859 Other osteonecrosis, unspecified femur
      • M87.86 Other osteonecrosis, tibia and fibula
        • M87.861 Other osteonecrosis, right tibia
        • M87.862 Other osteonecrosis, left tibia
        • M87.863 Other osteonecrosis, unspecified tibia
        • M87.864 Other osteonecrosis, right fibula
        • M87.865 Other osteonecrosis, left fibula
        • M87.869 Other osteonecrosis, unspecified fibula
      • M87.87 Other osteonecrosis, ankle, foot and toes
        • M87.871 Other osteonecrosis, right ankle
        • M87.872 Other osteonecrosis, left ankle
        • M87.873 Other osteonecrosis, unspecified ankle
        • M87.874 Other osteonecrosis, right foot
        • M87.875 Other osteonecrosis, left foot
        • M87.876 Other osteonecrosis, unspecified foot
        • M87.877 Other osteonecrosis, right toe(s)
        • M87.878 Other osteonecrosis, left toe(s)
        • M87.879 Other osteonecrosis, unspecified toe(s)
      • M87.88 …… other site
      • M87.89 …… multiple sites
    • M87.9 Osteonecrosis, unspecified