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M87.219

Billable

Osteonecrosis due to previous trauma, unspecified shoulder

HCC Category Mapping

V28HCC 92Bone/Joint/Muscle Infections/Necrosis
0.209
V24HCC 39Bone/Joint/Muscle Infections/Necrosis
0.482
ESRDHCC 39Bone/Joint/Muscle Infections/Necrosis
0.000
RxHCCHCC 80Bone/Joint/Muscle Infections/Necrosis
0.000

What This Code Means

Death of bone tissue in the shoulder due to a previous injury, when the specific shoulder is not specified.

Coding Tips

  • Use this code only when the shoulder location is unspecified; if laterality is known, use M87.211 (right) or M87.212 (left)
  • Document the history of trauma in the medical record to support the 'due to previous trauma' etiology

Clinical Significance

Trauma-related osteonecrosis of unspecified shoulder represents bone death from previous injury when laterality is not documented, indicating need for improved documentation specificity. This condition requires ongoing orthopedic evaluation and may necessitate surgical intervention to preserve shoulder function and prevent disability.

Documentation Requirements

  • Documentation of shoulder involvement without laterality specification
  • Clear history of previous trauma or injury
  • Imaging evidence of shoulder osteonecrosis
  • Timeline relationship between trauma and bone death
  • Functional assessment of shoulder
  • Evidence that laterality could not be determined
  • Treatment planning documentation
  • Monitoring for progression or complications

Commonly Confused Codes

Code Hierarchy

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