M87.111

Billable

Osteonecrosis due to drugs, right shoulder

HCC Category Mapping

V24HCC 39 — Bone/Joint/Muscle Infections/Necrosis

0.482

ESRDHCC 39 — Bone/Joint/Muscle Infections/Necrosis

0.000

RxHCCHCC 80 — Bone/Joint/Muscle Infections/Necrosis

0.000

What This Code Means

Death of bone tissue in the right shoulder caused by medication use.

Coding Tips

•Identify and document the causative drug in the medical record
•This typically affects the humeral head; ensure shoulder is the correct site

Clinical Significance

Drug-induced osteonecrosis of the right shoulder represents medication-related bone death requiring immediate assessment of causative drugs and potential therapy modifications. This condition significantly impacts upper extremity function and may require surgical intervention if conservative management fails, necessitating ongoing orthopedic care.

Documentation Requirements

✓Specific documentation of right shoulder involvement
✓Clear identification of drug-induced etiology
✓Documentation of causative medication(s)
✓Imaging studies confirming shoulder osteonecrosis
✓Timeline establishing relationship between drug exposure and bone death
✓Assessment of shoulder function and range of motion
✓Evaluation of need for medication discontinuation or modification
✓Treatment plan and response documentation

Commonly Confused Codes

M87.011 — Idiopathic osteonecrosis of right shoulder (no drug cause)M87.211 — Trauma-related osteonecrosis of right shoulder (injury-related)M87.311 — Other secondary osteonecrosis of right shoulder (different cause)M87.112 — Drug-induced osteonecrosis of left shoulder (wrong laterality)M25.511 — Pain in right shoulder (symptom, not structural bone death)

Code Hierarchy

└M87Osteonecrosis └M87.1Osteonecrosis due to drugs └M87.11Osteonecrosis due to drugs, shoulder └M87.111Osteonecrosis due to drugs, right shoulder

└M87.111Osteonecrosis due to drugs, right shoulder