M87.352

HCC Category Mapping

What This Code Means

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

Coding Tips

• •Verify left laterality is clearly documented in the medical record
• •Consider documenting the stage and location within the femur (head, neck, shaft) for clinical clarity

Clinical Significance

This diagnosis represents secondary osteonecrosis of the left 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 left 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