M87.152
BillableOsteonecrosis due to drugs, left femur
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 left thighbone (femur) caused by medication side effects, commonly seen with corticosteroid use and affecting weight-bearing.
Coding Tips
- •Ensure clear documentation of left-sided involvement to prevent miscoding as right femur
- •Link this diagnosis to the causative medication in the medical record for continuity of care and medication management
Clinical Significance
Drug-induced osteonecrosis of the left femur involves medication-related bone death in the primary weight-bearing bone, commonly affecting the femoral head and potentially necessitating total hip replacement. This condition severely impacts mobility and requires intensive orthopedic management and rehabilitation.
Documentation Requirements
- ✓Clear documentation of left femur involvement in osteonecrosis
- ✓Specific causative medication with exposure details
- ✓Advanced imaging confirming left femoral osteonecrosis
- ✓Assessment of hip joint function and gait abnormalities
- ✓Documentation of functional limitations and disability
- ✓Drug therapy timeline and relationship to symptom development
- ✓Comprehensive treatment plan including surgical considerations
- ✓Provider documentation establishing drug-induced etiology
Commonly Confused Codes
M87.151 — Right femur osteonecrosis, opposite sideM87.159 — Unspecified femur when left side is documentedM87.150 — Pelvic osteonecrosis involves different bone structureM87.252 — Post-traumatic left femur requires trauma historyM16.12 — Primary osteoarthritis is joint degeneration, not bone necrosis
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.15Osteonecrosis due to drugs, pelvis and femur└M87.152Osteonecrosis due to drugs, left femur
└M87.152Osteonecrosis due to drugs, left femur