M87.141
BillableOsteonecrosis due to drugs, right hand
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 right hand caused by medication side effects.
Coding Tips
- •This code encompasses multiple hand bones; if a specific bone is documented, consider more specific anatomical codes
- •Verify the causative medication and document it clearly for adverse event tracking and clinical management
Clinical Significance
Drug-induced osteonecrosis of the right hand represents medication-related bone death affecting multiple hand structures beyond just carpal bones, potentially causing severe functional impairment. This condition requires comprehensive hand surgery evaluation and may significantly impact occupational capacity and daily living activities.
Documentation Requirements
- ✓Clear documentation of right hand involvement beyond carpal bones
- ✓Specific causative medication identification with exposure details
- ✓Comprehensive imaging showing extent of hand bone necrosis
- ✓Detailed functional assessment including grip strength and dexterity
- ✓Documentation of impact on activities of daily living and occupation
- ✓Drug therapy timeline and correlation with symptom development
- ✓Multidisciplinary treatment plan including hand therapy and surgery
- ✓Provider assessment linking drug exposure to osteonecrosis
Commonly Confused Codes
M87.137 — Right carpus osteonecrosis limited to wrist bones onlyM87.142 — Left hand osteonecrosis, opposite lateralityM87.143 — Unspecified hand when right side is documentedM87.144 — Right finger osteonecrosis more specific than hand involvementS62.9 — Acute hand injury is traumatic, not chronic drug-induced
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.14Osteonecrosis due to drugs, hand and fingers└M87.141Osteonecrosis due to drugs, right hand
└M87.141Osteonecrosis due to drugs, right hand