M87.10
BillableOsteonecrosis due to drugs, unspecified bone
HCC Category Mapping
V24HCC 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 caused by medication use, affecting an unspecified bone location.
Coding Tips
- •Document which medication caused the osteonecrosis (e.g., corticosteroids, bisphosphonates)
- •Assign a more specific code if the bone location is documented
Clinical Significance
Drug-induced osteonecrosis of unspecified bone represents medication-related bone death requiring immediate evaluation of causative agents and potential discontinuation or modification of therapy. This diagnosis has significant implications for ongoing medication management and requires careful monitoring to prevent progression and additional bone involvement.
Documentation Requirements
- ✓Clear documentation of drug-induced etiology
- ✓Identification of causative medication(s) when possible
- ✓Imaging evidence of bone necrosis
- ✓Timeline relationship between drug exposure and bone death
- ✓Clinical findings consistent with osteonecrosis
- ✓Assessment of need for medication modification
- ✓Evaluation for other potential affected sites
- ✓Documentation that specific bone location was not determined
Commonly Confused Codes
M87.00 — Idiopathic aseptic necrosis unspecified bone (no drug cause identified)M87.30 — Other secondary osteonecrosis unspecified bone (different secondary cause)M87.20 — Trauma-related osteonecrosis unspecified bone (injury-related)Specific site drug-induced codes (M87.11x-M87.18x series when location known)T36-T50 series — Adverse effects of drugs (for the drug effect itself)
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.10Osteonecrosis due to drugs, unspecified bone
└M87.10Osteonecrosis due to drugs, unspecified bone