M87.262

HCC Category Mapping

What This Code Means

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

Coding Tips

• •Verify left tibia is documented and distinguish from fibula involvement, which uses different codes (M87.264-M87.266)
• •Confirm the causal relationship between prior trauma and current osteonecrosis in the medical record

Clinical Significance

Left tibial osteonecrosis secondary to trauma represents a serious complication affecting a primary weight-bearing bone essential for normal ambulation. This condition often requires specialized orthopedic management and may significantly impact patient mobility and independence, necessitating comprehensive rehabilitation.

Documentation Requirements

• ✓Clear identification of left tibia involvement
• ✓Documentation of previous trauma to left lower leg area
• ✓Imaging evidence of bone necrosis in left tibial structures
• ✓Specific anatomical location within tibia if documented
• ✓Current weight-bearing ability and gait assessment
• ✓Pain evaluation and functional capacity assessment
• ✓Treatment modalities attempted and effectiveness
• ✓Impact on patient mobility and quality of life

Commonly Confused Codes