M87.144

HCC Category Mapping

What This Code Means

Death of bone tissue in the fingers of the right hand caused by medication side effects, potentially affecting grip strength and fine motor function.

Coding Tips

• •This code applies to one or more fingers on the right hand; if multiple fingers are affected, this single code still applies
• •Document which specific fingers are involved in clinical notes to support the diagnosis and treatment planning

Clinical Significance

Drug-induced osteonecrosis of right fingers represents medication-related bone death specifically affecting finger bones, with potential severe impact on fine motor function and daily activities. This condition requires specialized hand surgery evaluation and may necessitate complex reconstructive procedures to preserve function.

Documentation Requirements

• ✓Specific documentation of right finger involvement in osteonecrosis
• ✓Identification of causative medication with exposure timeline
• ✓Imaging studies confirming finger bone necrosis
• ✓Assessment of fine motor function and pinch strength
• ✓Documentation of specific fingers affected when known
• ✓Impact assessment on occupational and daily living activities
• ✓Treatment plan including conservative and surgical options
• ✓Provider statement establishing drug causation

Commonly Confused Codes