M87.142

HCC Category Mapping

What This Code Means

Death of bone tissue in the left hand caused by medication side effects, leading to bone deterioration and potential loss of function.

Coding Tips

• •Verify the specific medication causing the osteonecrosis and document it in the medical record for accurate coding
• •Ensure laterality is clearly documented as 'left hand' to distinguish from right hand or unspecified codes

Clinical Significance

Drug-induced osteonecrosis of the left hand indicates medication-related bone death affecting multiple hand structures, with particular consideration for dominant hand impact on functional capacity. This condition requires specialized hand surgery consultation and comprehensive rehabilitation planning for optimal functional outcomes.

Documentation Requirements

• ✓Explicit documentation of left hand osteonecrosis involvement
• ✓Causative drug identification with dosage and duration when available
• ✓Imaging studies demonstrating extent of hand bone necrosis
• ✓Functional assessment including grip strength, pinch, and dexterity
• ✓Assessment of hand dominance and impact on daily activities
• ✓Drug exposure timeline and relationship to symptom development
• ✓Comprehensive treatment plan including surgical and non-surgical options
• ✓Provider documentation establishing drug-induced etiology

Commonly Confused Codes