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M87.272

Billable

Osteonecrosis due to previous trauma, left ankle

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 left ankle caused by a previous injury or trauma to that area.

Coding Tips

  • Verify documentation specifies 'left ankle' and that osteonecrosis is directly related to prior trauma
  • Review imaging reports to confirm bone death diagnosis and ensure laterality is clearly documented

Clinical Significance

Left ankle osteonecrosis secondary to trauma represents a serious complication affecting a critical weight-bearing joint, potentially leading to significant disability and chronic pain. This condition requires specialized orthopedic care and may necessitate advanced surgical procedures to preserve joint function.

Documentation Requirements

  • Clear identification of left ankle involvement
  • Documentation of previous trauma to left ankle area
  • Evidence of bone necrosis in left ankle structures
  • Assessment of joint stability and range of motion
  • Current pain evaluation and functional capacity
  • Weight-bearing status and gait assessment
  • Treatment modalities attempted and effectiveness
  • Impact on patient mobility and independence

Commonly Confused Codes

Code Hierarchy

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