M87.250
BillableOsteonecrosis due to previous trauma, pelvis
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 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
M87.350 — Other secondary osteonecrosis, pelvis (non-traumatic secondary cause)M87.051 — Idiopathic osteonecrosis of pelvis (when cause is unknown)M84.359A — Stress fracture, pelvis (acute injury, not chronic osteonecrosis)M87.9 — Osteonecrosis, unspecified (when pelvic involvement and trauma history are documented)S32.9XXA — Fracture of unspecified parts of lumbosacral spine and pelvis (acute fracture)
Code Hierarchy
└M87Osteonecrosis└M87.2Osteonecrosis due to previous trauma└M87.25Osteonecrosis due to previous trauma, pelvis and femur└M87.250Osteonecrosis due to previous trauma, pelvis
└M87.250Osteonecrosis due to previous trauma, pelvis