M87.341

HCC Category Mapping

What This Code Means

Death of bone tissue in the right hand caused by an underlying condition or injury, affecting the hand structure and function.

Coding Tips

• •This code applies to the hand as a whole; if a specific bone (metacarpal or carpal) is documented, consider more specific codes
• •Verify right side documentation to ensure proper laterality coding

Clinical Significance

Secondary osteonecrosis of the right hand indicates bone death from identifiable non-traumatic causes affecting the bones of the hand. This condition can severely impact grip strength, fine motor skills, and activities of daily living, often requiring specialized hand surgery intervention.

Documentation Requirements

• ✓Documentation of underlying secondary cause of osteonecrosis
• ✓Imaging confirmation of osteonecrosis in right hand bones
• ✓Clinical examination showing right hand dysfunction
• ✓History of risk factors such as steroids, chemotherapy, or systemic disease
• ✓Exclusion of traumatic and idiopathic etiologies
• ✓Documentation of pain, swelling, or functional limitations
• ✓Provider statement identifying secondary nature of condition
• ✓Evidence of bone death through appropriate diagnostic studies

Commonly Confused Codes