M87.132
BillableOsteonecrosis due to drugs of left radius
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 radius (forearm bone) caused by medication side effects.
Coding Tips
- •Document which medication caused the osteonecrosis for complete clinical picture and potential adverse event reporting
- •Confirm left side is documented; do not assume laterality from clinical context alone
Clinical Significance
Drug-induced osteonecrosis of the left radius represents a medication-related complication affecting the dominant or non-dominant forearm, potentially impacting occupational and recreational activities. The laterality specification is essential for rehabilitation planning and functional outcome assessment.
Documentation Requirements
- ✓Explicit documentation of left radius involvement
- ✓Causative medication identification with dosage/duration when available
- ✓Radiological confirmation of osteonecrosis (X-ray, MRI, bone scan)
- ✓Symptom documentation including pain severity and functional impact
- ✓Assessment of grip strength and range of motion limitations
- ✓Drug exposure timeline and relationship to symptom development
- ✓Current treatment plan and response to interventions
- ✓Provider assessment linking drug use to osteonecrosis development
Commonly Confused Codes
M87.131 — Right radius osteonecrosis, opposite lateralityM87.133 — Unspecified radius when side is clearly documented as leftM87.232 — Post-traumatic left radius osteonecrosis requires injury historyM87.032 — Idiopathic osteonecrosis lacks specific drug causationM87.135 — Left ulna osteonecrosis affects different forearm bone
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.13Osteonecrosis due to drugs of radius, ulna and carpus└M87.132Osteonecrosis due to drugs of left radius
└M87.132Osteonecrosis due to drugs of left radius