M87.150
BillableOsteonecrosis due to drugs, pelvis
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 pelvis caused by medication side effects, which can affect mobility and weight-bearing capacity.
Coding Tips
- •Pelvic osteonecrosis is less common than femoral involvement; verify diagnosis with imaging reports (MRI or CT)
- •Document the specific medication and duration of use that led to this drug-induced complication
Clinical Significance
Drug-induced osteonecrosis of the pelvis represents a severe medication-related complication affecting weight-bearing capacity and mobility. This condition often requires extensive orthopedic intervention and can significantly impact quality of life, making it a high-priority diagnosis for comprehensive care management.
Documentation Requirements
- ✓Clear documentation of pelvic bone involvement in osteonecrosis
- ✓Identification of causative medication with exposure details
- ✓Advanced imaging confirming pelvic osteonecrosis (MRI or CT)
- ✓Assessment of weight-bearing capacity and mobility limitations
- ✓Documentation of pain severity and functional impact
- ✓Drug therapy duration and relationship to symptom development
- ✓Treatment plan including weight-bearing restrictions and interventions
- ✓Provider statement establishing drug-induced etiology
Commonly Confused Codes
M87.151/M87.152 — Hip/femur osteonecrosis involves different bone structuresM87.250 — Post-traumatic pelvic osteonecrosis requires injury historyM87.050 — Idiopathic pelvic osteonecrosis lacks drug causationS32.9 — Acute pelvic fracture is traumatic injury, not chronic necrosisM87.9 — Unspecified osteonecrosis lacks anatomical and etiological specificity
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.15Osteonecrosis due to drugs, pelvis and femur└M87.150Osteonecrosis due to drugs, pelvis
└M87.150Osteonecrosis due to drugs, pelvis