M87.19

HCC Category Mapping

What This Code Means

Bone death caused by medication side effects affecting multiple bones or sites throughout the body.

Coding Tips

• •Document all affected sites in the medical record to justify the use of this multiple sites code
• •Consider if individual site codes would be more appropriate if only 1-2 sites are involved

Clinical Significance

Drug-induced osteonecrosis of multiple sites represents systemic medication-related bone death affecting multiple locations, indicating severe drug toxicity requiring immediate comprehensive evaluation and treatment modification. This condition suggests significant medication-related morbidity requiring multidisciplinary care coordination and extensive ongoing monitoring.

Documentation Requirements

• ✓Documentation of multiple bone sites affected
• ✓Specification of at least two distinct anatomical locations
• ✓Clear identification of drug-induced etiology across all sites
• ✓Documentation of causative medication(s)
• ✓Imaging evidence of osteonecrosis at multiple locations
• ✓Timeline establishing drug exposure relationship
• ✓Comprehensive functional assessment of all affected areas
• ✓Medication discontinuation or modification planning

Commonly Confused Codes