M87.011

HCC Category Mapping

What This Code Means

Death of bone tissue without infection in the right shoulder joint, occurring without a known cause.

Coding Tips

• •Ensure documentation specifies 'right' shoulder to distinguish from left or unspecified
• •Consider if this is related to prior trauma or corticosteroid use, which would indicate a different code

Clinical Significance

Idiopathic aseptic necrosis of the right shoulder represents a serious condition affecting the humeral head, often requiring surgical intervention such as joint replacement. This anatomically specific diagnosis indicates significant functional impairment and chronic pain affecting the patient's dominant or non-dominant arm function.

Documentation Requirements

• ✓Documentation of aseptic necrosis specifically affecting right shoulder
• ✓Confirmation of idiopathic etiology (no identifiable cause)
• ✓Imaging studies showing necrosis of humeral head or shoulder bones
• ✓Laterality clearly documented as right side
• ✓Exclusion of infectious causes
• ✓Functional assessment of shoulder range of motion
• ✓Treatment plan including physical therapy or surgical options
• ✓Pain level documentation and impact on activities of daily living

Commonly Confused Codes