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M87.332 ICD-10-CM Code: Other secondary osteonecrosis of left radius

M87.332 maps to CMS-HCC V28 92. A source-labeled RAF reference is available. Documentation must support MEAT. MEAT criteria · RAF Calculator · free HCC coding tools

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Other osteopathies (M86-M90)

M87.332

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other secondary osteonecrosis of left radius

Death of bone tissue in the left forearm bone (radius) caused by a secondary condition or factor.

Buddy the Bee presenting code insight

Buddy Insight

Left radius secondary osteonecrosis represents bone death from identifiable non-traumatic causes affecting the dominant forearm in most patients.

CMS-HCC V28

HCC 92

Code-level coefficient reference

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 055

Code-level coefficient reference

ESRD/PACE

HCC 39

Code-level coefficient reference

RXHCC

HCC 80

Code-level coefficient reference

Code Book Path

Official
M87.3Other secondary osteonecrosis
M87.33Other secondary osteonecrosis of radius, ulna and carpus
M87.332Other secondary osteonecrosis of left radius

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M87.332 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for M87.332 in this effective period.

Related Child Codes

Official
M87.331Other secondary osteonecrosis of right radius
M87.333Other secondary osteonecrosis of unspecified radius
M87.334Other secondary osteonecrosis of right ulna
M87.335Other secondary osteonecrosis of left ulna
M87.336Other secondary osteonecrosis of unspecified ulna

Includes

Official

ICD-10-CM does not list Includes notes for M87.332 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for M87.332 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M87.332 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M87.332 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M87.332 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Clear documentation of secondary cause of osteonecrosis
Radiological evidence of bone necrosis in left radius
Clinical assessment demonstrating left forearm/wrist impairment
History of predisposing conditions or medications

MEAT Support

HCC Buddy guidance
Clear documentation of secondary cause of osteonecrosis
Radiological evidence of bone necrosis in left radius
Clinical assessment demonstrating left forearm/wrist impairment
History of predisposing conditions or medications

Audit Caution

HCC Buddy guidance
Using when traumatic or idiopathic cause is documented
Confusing laterality in documentation
Missing identification of secondary causative factors
Using acute trauma codes for chronic sequelae

Common Mistakes

HCC Buddy guidance
M87.032 — Idiopathic osteonecrosis of left radius (spontaneous)
M87.232 — Osteonecrosis due to previous trauma of left radius (traumatic)
S52.502A — Unspecified fracture of lower end of left radius (acute injury)
M86.032 — Acute hematogenous osteomyelitis of left radius (infection)

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is M87.332 an HCC code?

Yes. M87.332 (Other secondary osteonecrosis of left radius) maps to HCC 92, Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.479. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: M87.332 is billable and maps to V28 HCC 92, Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
M87.332
Description
Other secondary osteonecrosis of left radius
HCC (V28)
HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
RAF reference coefficient
0.479
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 92, Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
0.479
ESRDHCC 39, Bone/Joint/Muscle Infections/Necrosis
Not separately weighted
RxHCCHCC 80, Aseptic Necrosis of Bone
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work M87.332 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for M87.332

For M87.332 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed M87.332 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

M87.332 is the ICD-10-CM diagnosis code for other secondary osteonecrosis of left radius. Death of bone tissue in the left forearm bone (radius) caused by a secondary condition or factor. M87.332 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other osteopathies (m86-m90).

Under the CMS-HCC V28 risk adjustment model, M87.332 maps to Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis (HCC 92) with a source-labeled community, non-dual, aged reference coefficient of 0.479. No V24 mapping is shown for M87.332; use the applicable model and payment year when reviewing the V28 mapping. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Verify laterality is documented as 'left' and the affected bone is the radius. Because M87.332 maps to an HCC category, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for M87.332 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify laterality is documented as 'left' and the affected bone is the radius
  • Consider impact on pronation/supination function when documenting clinical significance

Clinical Significance

Left radius secondary osteonecrosis represents bone death from identifiable non-traumatic causes affecting the dominant forearm in most patients. This condition significantly impacts wrist function and grip strength, requiring comprehensive management to prevent progression and preserve hand function.

Documentation Requirements

  • Clear documentation of secondary cause of osteonecrosis
  • Radiological evidence of bone necrosis in left radius
  • Clinical assessment demonstrating left forearm/wrist impairment
  • History of predisposing conditions or medications
  • Exclusion of trauma and idiopathic causes
  • Documentation of functional impact on daily activities
  • Provider correlation of secondary etiology
  • Evidence of bone death through appropriate imaging

Commonly Confused Codes

  • M87.032: Idiopathic osteonecrosis of left radius (spontaneous)
  • M87.232: Osteonecrosis due to previous trauma of left radius (traumatic)
  • S52.502A: Unspecified fracture of lower end of left radius (acute injury)
  • M86.032: Acute hematogenous osteomyelitis of left radius (infection)
  • M25.532: Pain in left wrist (symptom code)

Child Codes

Code Hierarchy

Because M87.332 maps to an HCC category, the documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment.

M87.332 maps to CMS-HCC V28 category 92, Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for M87.332. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work M87.332 in HCC Buddy

Open M87.332 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.