M87.312

HCC Category Mapping

What This Code Means

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

Coding Tips

• •Confirm laterality is documented as 'left' before assigning this code
• •Link this diagnosis to the causative factor documented in the medical record for complete clinical picture

Clinical Significance

Left shoulder secondary osteonecrosis represents a debilitating condition affecting a crucial joint for upper extremity function. This diagnosis indicates bone death from identifiable secondary causes, requiring treatment of both the underlying condition and the bone pathology.

Documentation Requirements

• ✓Clear documentation of secondary cause of osteonecrosis
• ✓Radiological evidence of bone necrosis in left shoulder
• ✓Clinical findings demonstrating left shoulder impairment
• ✓History of predisposing factors (medications, systemic disease)
• ✓Exclusion of trauma and idiopathic etiologies
• ✓Documentation of functional limitations and symptoms
• ✓Provider statement on secondary nature of the condition
• ✓Evidence of bone death through advanced imaging

Commonly Confused Codes