M87.241
BillableOsteonecrosis due to previous trauma, right hand
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 right hand caused by a previous injury, affecting the overall structure and function of the hand.
Coding Tips
- •This code is broader than finger-specific codes; use when osteonecrosis affects multiple hand structures or when specific location is not documented
- •Differentiate between hand (M87.241) and finger-specific codes (M87.244) based on documentation
Clinical Significance
Right hand osteonecrosis following trauma represents a complex condition affecting multiple bone structures critical for fine motor function and grip strength. This diagnosis indicates significant long-term complications requiring specialized orthopedic intervention and potentially impacting occupational capacity.
Documentation Requirements
- ✓Clear identification of right hand involvement
- ✓Documentation of previous trauma to the right hand
- ✓Clinical or radiological evidence of bone necrosis in hand structures
- ✓Specific bones affected within the hand (metacarpals, phalanges)
- ✓Current functional limitations and pain levels
- ✓Impact on activities of daily living and work performance
- ✓Treatment history and response to interventions
- ✓Any complications or associated conditions
Commonly Confused Codes
M87.242 — Osteonecrosis due to previous trauma, left hand (wrong laterality)M87.243 — Osteonecrosis due to previous trauma, unspecified hand (when laterality is known)M87.244 — Osteonecrosis due to previous trauma, right finger(s) (more specific finger involvement)M87.341 — Other secondary osteonecrosis, right hand (non-traumatic secondary cause)M87.237 — Osteonecrosis due to previous trauma of right carpus (carpal bones specifically)
Code Hierarchy
└M87Osteonecrosis└M87.2Osteonecrosis due to previous trauma└M87.24Osteonecrosis due to previous trauma, hand and fingers└M87.241Osteonecrosis due to previous trauma, right hand
└M87.241Osteonecrosis due to previous trauma, right hand