M87.119
BillableOsteonecrosis due to drugs, unspecified 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 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
M87.111 — Drug-induced osteonecrosis of right shoulder (use when laterality known)M87.112 — Drug-induced osteonecrosis of left shoulder (use when laterality known)M87.019 — Idiopathic osteonecrosis of unspecified shoulder (no drug cause)M87.219 — Trauma-related osteonecrosis of unspecified shoulder (injury-related)M87.319 — Other secondary osteonecrosis of unspecified shoulder (different cause)
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.11Osteonecrosis due to drugs, shoulder└M87.119Osteonecrosis due to drugs, unspecified shoulder
└M87.119Osteonecrosis due to drugs, unspecified shoulder