M87.237
BillableOsteonecrosis due to previous trauma of right carpus
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 wrist bones on the right side caused by a previous injury, resulting in bone deterioration and potential loss of function.
Coding Tips
- •Verify documentation confirms osteonecrosis is due to previous trauma rather than other causes like radiation or idiopathic
- •Ensure laterality is clearly documented as right before assigning this code
Clinical Significance
Right carpal osteonecrosis following trauma is particularly significant due to the complex anatomy and critical function of wrist bones in daily activities. This condition often leads to chronic pain, limited range of motion, and potential need for specialized orthopedic procedures including bone grafting or joint fusion.
Documentation Requirements
- ✓Specific identification of right carpus involvement
- ✓Documentation of previous trauma to the right wrist area
- ✓Clinical or radiological evidence of bone death in carpal bones
- ✓Description of current symptoms and functional limitations
- ✓History of the traumatic event and timeline
- ✓Any associated complications or secondary conditions
- ✓Treatment modalities attempted or planned
- ✓Impact on activities of daily living and work capacity
Commonly Confused Codes
M87.238 — Osteonecrosis due to previous trauma of left carpus (wrong laterality)M87.239 — Osteonecrosis due to previous trauma of unspecified carpus (when laterality is documented)M87.337 — Other secondary osteonecrosis of right carpus (non-traumatic cause)M87.241 — Osteonecrosis due to previous trauma, right hand (more general hand involvement)S62.109A — Fracture of unspecified carpal bone, right wrist (acute fracture, not osteonecrosis)
Code Hierarchy
└M87Osteonecrosis└M87.2Osteonecrosis due to previous trauma└M87.23Osteonecrosis due to previous trauma of radius, ulna and carpus└M87.237Osteonecrosis due to previous trauma of right carpus
└M87.237Osteonecrosis due to previous trauma of right carpus