M87.232
BillableOsteonecrosis due to previous trauma of left radius
HCC Category Mapping
V28HCC 92 — Bone/Joint/Muscle Infections/Necrosis
0.209V24HCC 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 forearm bone (radius) caused by a previous injury.
Coding Tips
- •Verify left-sided radius involvement in the clinical documentation
- •This condition may result from old fractures or other significant trauma to the forearm
Clinical Significance
Left radius osteonecrosis following trauma represents a significant functional impairment affecting the dominant side in most patients. This condition requires careful monitoring for progression and may necessitate surgical intervention to prevent collapse and preserve wrist function.
Documentation Requirements
- ✓Documentation of previous trauma specifically to the left radius
- ✓Radiological evidence of osteonecrosis through appropriate imaging
- ✓Clinical assessment showing left forearm/wrist impairment
- ✓Exclusion of non-traumatic causes of osteonecrosis
- ✓Documentation of pain patterns and functional limitations
- ✓Provider correlation between past trauma and current bone death
- ✓Evidence of failed bone healing or revascularization
- ✓Assessment of impact on activities of daily living
Commonly Confused Codes
M87.032 — Idiopathic osteonecrosis of left radius (spontaneous, not traumatic)S52.502A — Unspecified fracture of the lower end of left radius (acute injury)M86.032 — Acute hematogenous osteomyelitis of left radius (infectious process)M87.332 — Other secondary osteonecrosis of left radius (non-traumatic secondary)M25.532 — Pain in left wrist (symptom code only)
Code Hierarchy
└M87Osteonecrosis└M87.2Osteonecrosis due to previous trauma└M87.23Osteonecrosis due to previous trauma of radius, ulna and carpus└M87.232Osteonecrosis due to previous trauma of left radius
└M87.232Osteonecrosis due to previous trauma of left radius