M87.143
BillableOsteonecrosis due to drugs, unspecified 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 hand caused by medication side effects when the specific hand (left or right) is not documented or specified.
Coding Tips
- •Use this code only when laterality cannot be determined from documentation; query provider if possible for more specific coding
- •Document the causative medication to support medical necessity and justify the drug-induced etiology
Clinical Significance
Drug-induced osteonecrosis of unspecified hand represents medication-related bone death when laterality cannot be determined from documentation. Despite the side limitation, this diagnosis indicates significant functional impairment requiring comprehensive hand care and rehabilitation services.
Documentation Requirements
- ✓Documentation confirming hand involvement in osteonecrosis process
- ✓Specific causative medication or drug class identification
- ✓Imaging evidence demonstrating hand bone necrosis
- ✓Functional assessment of grip strength and manual dexterity
- ✓Explanation for inability to determine affected hand
- ✓Drug exposure history with temporal relationship to symptoms
- ✓Treatment approach addressing functional limitations
- ✓Provider confirmation of drug-induced etiology
Commonly Confused Codes
M87.141/M87.142 — Use specific laterality when right/left is documentedM87.146 — Unspecified finger osteonecrosis more specific than handM87.139 — Unspecified carpus limited to wrist bones onlyM87.243 — Post-traumatic unspecified hand requires injury historyM87.043 — Idiopathic hand osteonecrosis lacks drug causation
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.14Osteonecrosis due to drugs, hand and fingers└M87.143Osteonecrosis due to drugs, unspecified hand
└M87.143Osteonecrosis due to drugs, unspecified hand