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M87.237

Billable

Osteonecrosis due to previous trauma of right carpus

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 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

Code Hierarchy

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