M87.019
BillableIdiopathic aseptic necrosis of unspecified 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 shoulder area when the specific side (left or right) is not documented.
Coding Tips
- •Use this code only when laterality cannot be determined from documentation
- •Query the provider if possible to obtain specific laterality for more precise coding
Clinical Significance
Idiopathic aseptic necrosis of unspecified shoulder indicates bone death when laterality is not documented, representing a serious orthopedic condition requiring comprehensive management. This diagnosis suggests significant functional impairment and potential need for surgical intervention when conservative treatments fail.
Documentation Requirements
- ✓Documentation of aseptic necrosis affecting shoulder region
- ✓Confirmation of idiopathic etiology without identifiable cause
- ✓Imaging studies demonstrating bone necrosis in shoulder area
- ✓Absence of laterality specification in documentation
- ✓Clinical exclusion of infectious causes
- ✓Functional assessment of shoulder mobility and limitations
- ✓Treatment plan documentation including therapeutic interventions
- ✓Pain management strategies and patient response
Commonly Confused Codes
Code Hierarchy
└M87Osteonecrosis└M87.0Idiopathic aseptic necrosis of bone└M87.01Idiopathic aseptic necrosis of shoulder└M87.019Idiopathic aseptic necrosis of unspecified shoulder
└M87.019Idiopathic aseptic necrosis of unspecified shoulder