M87.252

HCC Category Mapping

What This Code Means

Death of bone tissue in the left thighbone (femur) caused by a previous injury or trauma to that area.

Coding Tips

• •Confirm laterality is documented as left femur in the clinical record before assigning this code
• •Document the timeline between the original trauma and diagnosis of osteonecrosis to support medical necessity

Clinical Significance

Left femoral osteonecrosis following trauma is a serious complication affecting the major weight-bearing bone, potentially leading to significant disability and need for joint replacement. This condition requires specialized orthopedic management and may significantly impact patient mobility and independence.

Documentation Requirements

• ✓Clear identification of left femur involvement
• ✓Documentation of previous trauma to left hip/thigh area
• ✓Imaging confirmation of osteonecrosis in femoral bone
• ✓Anatomical location within femur (head, neck, shaft) if specified
• ✓Assessment of weight-bearing ability and ambulation status
• ✓Current pain levels and functional capacity
• ✓Treatment history and surgical planning
• ✓Impact on patient mobility and quality of life

Commonly Confused Codes