M87.232
BillableOsteonecrosis due to previous trauma of left radius
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is M87.232 an HCC code?
Yes. M87.232 maps to Bone/Joint/Muscle Infections/Necrosis under the CMS-HCC V28 risk adjustment model (and Bone/Joint/Muscle Infections/Necrosis under V24).
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for M87.232
For M87.232 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically — it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed M87.232 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
M87.232 is the ICD-10-CM diagnosis code for osteonecrosis due to previous trauma of left radius. Death of bone tissue in the left forearm bone (radius) caused by a previous injury. M87.232 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other osteopathies (m86-m90).
Under the CMS-HCC V28 risk adjustment model, M87.232 maps to Bone/Joint/Muscle Infections/Necrosis (HCC 92) with a community, non-dual, aged base RAF weight of 0.209. Under the older V24 model, M87.232 mapped to the same category but with a base RAF weight of 0.482 — V28 recalibrated weights across the entire model. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
Verify left-sided radius involvement in the clinical documentation. Because M87.232 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M87.232 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
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