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M87.119

Billable

Osteonecrosis due to drugs, unspecified shoulder

HCC Category Mapping

V24HCC 39Bone/Joint/Muscle Infections/Necrosis
0.482
ESRDHCC 39Bone/Joint/Muscle Infections/Necrosis
0.000
RxHCCHCC 80Bone/Joint/Muscle Infections/Necrosis
0.000

What This Code Means

Death of bone tissue in the shoulder caused by medication use, when the side is not specified.

Coding Tips

  • Use only when laterality cannot be determined from documentation
  • Query the provider if right or left shoulder can be determined

Clinical Significance

Drug-induced osteonecrosis of unspecified shoulder indicates medication-related bone death when laterality is not documented, representing need for improved documentation specificity. This condition requires immediate assessment of causative medications and potential therapy modifications to prevent progression and preserve shoulder function.

Documentation Requirements

  • Documentation of shoulder involvement without side specification
  • Clear identification of drug-induced etiology
  • Documentation of causative medication(s)
  • Imaging evidence of shoulder osteonecrosis
  • Temporal relationship between drug exposure and bone death
  • Functional assessment of shoulder
  • Evidence that laterality could not be determined
  • Medication review and modification planning

Commonly Confused Codes

Code Hierarchy

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