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M87.012

Billable

Idiopathic aseptic necrosis of left shoulder

HCC Category Mapping

V28HCC 92Bone/Joint/Muscle Infections/Necrosis
0.209
V24HCC 39Bone/Joint/Muscle Infections/Necrosis
0.482
ESRDHCC 39Bone/Joint/Muscle Infections/Necrosis
0.000
RxHCCHCC 80Bone/Joint/Muscle Infections/Necrosis
0.000

What This Code Means

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

Coding Tips

  • Confirm laterality is documented as 'left' in the medical record
  • This code is specific to the left side; do not use if the side is unspecified or bilateral

Clinical Significance

Idiopathic aseptic necrosis of the left shoulder involves bone death in the humeral head without known cause, typically requiring extensive orthopedic management and potential joint replacement. This condition severely impacts shoulder function and often results in chronic pain and disability affecting work and daily activities.

Documentation Requirements

  • Clear documentation of aseptic necrosis involving left shoulder
  • Confirmation of idiopathic nature (no identifiable underlying cause)
  • Imaging evidence demonstrating bone necrosis in left shoulder structures
  • Specific laterality documentation identifying left side involvement
  • Exclusion of infectious etiology through clinical assessment
  • Range of motion limitations and functional impairment documentation
  • Treatment approach including conservative vs surgical management
  • Pain assessment and impact on patient's quality of life

Commonly Confused Codes

Code Hierarchy

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