M87.351

HCC Category Mapping

What This Code Means

Death of bone tissue in the right thighbone caused by an underlying condition or treatment, often leading to pain, limping, and potential need for surgical intervention.

Coding Tips

• •Femoral head osteonecrosis is the most common site; confirm right side is documented
• •Document the stage of osteonecrosis if available, as it may affect treatment decisions

Clinical Significance

This diagnosis represents secondary osteonecrosis of the right femur, often involving the femoral head, which can lead to hip joint collapse and require joint replacement. It necessitates aggressive management of the underlying cause and close orthopedic monitoring.

Documentation Requirements

• ✓Documentation of osteonecrosis affecting right femur
• ✓Identification of underlying cause (e.g., corticosteroid use, alcohol abuse, radiation)
• ✓Imaging findings confirming femoral bone necrosis (MRI, X-ray, CT)
• ✓Clinical symptoms such as groin pain, hip pain, or limping
• ✓Specific location within femur (head, neck, shaft)
• ✓Functional limitations and mobility issues
• ✓Duration and progression of condition
• ✓Treatment history including conservative and surgical options

Commonly Confused Codes