M87.112
BillableOsteonecrosis due to drugs, left shoulder
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 in the left 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 left shoulder represents medication-related bone death requiring immediate evaluation of causative agents and potential treatment modifications. This serious condition can significantly impair upper extremity function and daily activities, often requiring specialized orthopedic management and careful medication review.
Documentation Requirements
- ✓Specific documentation of left shoulder involvement
- ✓Clear identification of drug-induced etiology
- ✓Documentation of causative medication(s) when known
- ✓Imaging evidence of left shoulder osteonecrosis
- ✓Temporal relationship between drug exposure and onset
- ✓Functional assessment of left shoulder mobility
- ✓Evaluation for medication discontinuation or modification
- ✓Treatment response and monitoring documentation
Commonly Confused Codes
M87.012 — Idiopathic osteonecrosis of left shoulder (unknown cause)M87.212 — Trauma-related osteonecrosis of left shoulder (injury-related)M87.312 — Other secondary osteonecrosis of left shoulder (different secondary cause)M87.111 — Drug-induced osteonecrosis of right shoulder (wrong laterality)M75.30 — Calcific tendinitis of shoulder unspecified (different pathology)
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.11Osteonecrosis due to drugs, shoulder└M87.112Osteonecrosis due to drugs, left shoulder
└M87.112Osteonecrosis due to drugs, left shoulder