M87.012
BillableIdiopathic aseptic necrosis of left shoulder
HCC Category Mapping
V28HCC 92 — Bone/Joint/Muscle Infections/Necrosis
0.209V24HCC 39 — Bone/Joint/Muscle Infections/Necrosis
0.482ESRDHCC 39 — Bone/Joint/Muscle Infections/Necrosis
0.000RxHCCHCC 80 — Bone/Joint/Muscle Infections/Necrosis
0.000What 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
└M87Osteonecrosis└M87.0Idiopathic aseptic necrosis of bone└M87.01Idiopathic aseptic necrosis of shoulder└M87.012Idiopathic aseptic necrosis of left shoulder
└M87.012Idiopathic aseptic necrosis of left shoulder