M87.188
BillableOsteonecrosis due to drugs, other site
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
Bone death caused by medication side effects in body locations not specified elsewhere.
Coding Tips
- •Use this code only when the affected bone site does not fit into other M87.1x categories
- •Document the specific anatomical location in the medical record for clarity and future reference
Clinical Significance
Drug-induced osteonecrosis of other sites represents medication-related bone death in locations not specifically categorized elsewhere, requiring immediate assessment of causative agents and treatment modifications. This condition indicates serious medication-related complications that may affect multiple organ systems and require specialized management.
Documentation Requirements
- ✓Specific anatomical site documentation (other than standard locations)
- ✓Clear identification of drug-induced etiology
- ✓Documentation of causative medication(s)
- ✓Imaging evidence of osteonecrosis at specified site
- ✓Timeline establishing drug exposure relationship
- ✓Assessment of functional impact from affected site
- ✓Evaluation for medication discontinuation or modification
- ✓Treatment planning with appropriate specialists
Commonly Confused Codes
M87.088 — Idiopathic osteonecrosis of other site (no drug cause)M87.288 — Trauma-related osteonecrosis of other site (injury-related)M87.388 — Other secondary osteonecrosis of other site (different secondary cause)Specific site drug-induced codes (M87.11x-M87.18x when standard location)M89.8 — Other specified disorders of bone (different pathology)
Code Hierarchy
└M87Osteonecrosis└M87.1Osteonecrosis due to drugs└M87.18Osteonecrosis due to drugs, other site└M87.188Osteonecrosis due to drugs, other site
└M87.188Osteonecrosis due to drugs, other site