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M87.29

Billable

Osteonecrosis due to previous trauma, multiple sites

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 multiple different body locations caused by previous injuries or trauma.

Coding Tips

  • Use only when osteonecrosis is documented in two or more separate anatomical sites
  • Consider using additional codes if specific sites need individual documentation for clinical clarity

Clinical Significance

Multiple site post-traumatic osteonecrosis represents extensive bone pathology affecting multiple anatomical locations, indicating severe complications from trauma with significant impact on overall function and mobility. This condition typically requires comprehensive multidisciplinary management and may result in substantial disability.

Documentation Requirements

  • Documentation of multiple anatomical sites affected
  • Clear history of trauma affecting multiple areas or systemic factors
  • Evidence of bone necrosis in at least two distinct anatomical locations
  • Specific identification of affected sites when documented
  • Assessment of cumulative functional impact
  • Current pain levels and mobility limitations across sites
  • Comprehensive treatment planning and specialist involvement
  • Impact on patient's overall independence and quality of life

Commonly Confused Codes

Code Hierarchy

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