M87.311

HCC Category Mapping

What This Code Means

Death of bone tissue in the right shoulder caused by a secondary condition or factor such as radiation, trauma, or medication.

Coding Tips

• •Confirm laterality is documented as 'right' before assigning this code
• •Document the underlying cause (e.g., post-radiation, post-traumatic) to support medical necessity and treatment planning

Clinical Significance

Secondary osteonecrosis of the right shoulder indicates bone death from non-traumatic, non-idiopathic causes affecting a major weight-bearing joint. This condition can severely impact mobility and activities of daily living, often requiring complex treatment including possible joint replacement.

Documentation Requirements

• ✓Documentation of underlying cause of secondary osteonecrosis
• ✓Imaging confirmation of osteonecrosis in right shoulder structures
• ✓Clinical examination showing right shoulder dysfunction
• ✓History of risk factors such as corticosteroids, alcohol, or radiation
• ✓Exclusion of traumatic and idiopathic causes
• ✓Documentation of pain, stiffness, or limited range of motion
• ✓Provider assessment identifying secondary nature of condition
• ✓Evidence of compromised bone blood supply

Commonly Confused Codes