M87.29
BillableOsteonecrosis due to previous trauma, multiple sites
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 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
M87.28 — Osteonecrosis due to previous trauma, other site (single unusual site)M87.389 — Other secondary osteonecrosis, multiple sites (non-traumatic secondary cause)M87.80 — Other osteonecrosis, unspecified bone (single unspecified location)M87.9 — Osteonecrosis, unspecified (when etiology and sites are unclear)M89.8X9 — Other specified disorders of bone, multiple sites (different bone pathology)
Code Hierarchy
└M87Osteonecrosis└M87.2Osteonecrosis due to previous trauma└M87.29Osteonecrosis due to previous trauma, multiple sites
└M87.29Osteonecrosis due to previous trauma, multiple sites