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M87.250

Billable

Osteonecrosis due to previous trauma, pelvis

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 pelvis caused by a previous injury, which can affect mobility and weight-bearing capacity.

Coding Tips

  • Pelvis is a single anatomical structure, so no laterality modifier is needed
  • Document the specific pelvic bone affected (ilium, pubis, ischium) in clinical notes for completeness

Clinical Significance

Pelvic osteonecrosis following trauma represents a severe complication affecting weight-bearing capacity and mobility. This condition often requires complex orthopedic management and may significantly impact patient's ability to ambulate independently, necessitating comprehensive rehabilitation and long-term monitoring.

Documentation Requirements

  • Clear identification of pelvic bone involvement
  • Documentation of previous trauma to pelvic area
  • Clinical or radiological evidence of bone necrosis in pelvic structures
  • Current weight-bearing status and mobility assessment
  • Pain levels and functional limitations
  • Any associated complications or secondary conditions
  • Treatment history and patient response
  • Impact on ambulation and activities of daily living

Commonly Confused Codes

Code Hierarchy

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