M87.319
BillableOther secondary osteonecrosis, unspecified shoulder
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 the shoulder of unspecified side caused by a secondary condition or factor.
Coding Tips
- •Use this code only when laterality cannot be determined from documentation; query provider if possible for clarification
- •This is a less specific code; attempt to obtain laterality information for more accurate coding
Clinical Significance
Unspecified shoulder secondary osteonecrosis indicates bone death from identifiable non-traumatic causes when laterality cannot be determined. This condition significantly impacts shoulder function and requires management of both the underlying cause and bone pathology.
Documentation Requirements
- ✓Documentation of underlying secondary cause of osteonecrosis
- ✓Imaging evidence of shoulder osteonecrosis without specified side
- ✓Clinical examination showing shoulder dysfunction
- ✓Documentation explaining why laterality is unspecified
- ✓History of risk factors for secondary osteonecrosis
- ✓Exclusion of traumatic and idiopathic causes
- ✓Provider assessment of secondary etiology
- ✓Evidence of compromised bone viability
Commonly Confused Codes
M87.019 — Idiopathic osteonecrosis of unspecified shoulder (no secondary cause)M87.219 — Osteonecrosis due to previous trauma of unspecified shoulder (traumatic)M25.519 — Pain in unspecified shoulder (symptom only)M86.019 — Acute hematogenous osteomyelitis of unspecified shoulder (infection)M75.30 — Calcific tendinitis of unspecified shoulder (different condition)
Code Hierarchy
└M87Osteonecrosis└M87.3Other secondary osteonecrosis└M87.31Other secondary osteonecrosis, shoulder└M87.319Other secondary osteonecrosis, unspecified shoulder
└M87.319Other secondary osteonecrosis, unspecified shoulder