M87.353
BillableOther secondary osteonecrosis, unspecified femur
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 thighbone caused by an underlying condition or treatment when the specific side is not documented or applies to both sides.
Coding Tips
- •Use this code only when laterality is truly unspecified or unknown
- •Query the provider for clarification on right versus left involvement to assign more specific codes
Clinical Significance
This diagnosis represents secondary osteonecrosis of the femur when laterality is not specified, requiring identification of the underlying cause and monitoring for potential hip joint complications. The unspecified nature may indicate bilateral involvement or unclear documentation.
Documentation Requirements
- ✓Documentation of osteonecrosis affecting femur without side specification
- ✓Identification of underlying cause (e.g., corticosteroid use, alcohol abuse, radiation)
- ✓Imaging findings confirming femoral bone necrosis
- ✓Clinical symptoms such as groin pain, hip pain, or limping
- ✓Functional limitations and mobility issues
- ✓Duration and progression of condition
- ✓Treatment history and response
- ✓Reason why laterality cannot be determined or if bilateral involvement
Commonly Confused Codes
M87.859 — Other osteonecrosis of unspecified femur (other causes vs secondary)M87.351 — Other secondary osteonecrosis, right femur (when laterality is known)M87.352 — Other secondary osteonecrosis, left femur (when laterality is known)M87.050 — Idiopathic osteonecrosis of unspecified femur (idiopathic vs secondary)M16.10 — Unilateral primary osteoarthritis, unspecified hip (arthritis vs necrosis)
Code Hierarchy
└M87Osteonecrosis└M87.3Other secondary osteonecrosis└M87.35Other secondary osteonecrosis, pelvis and femur└M87.353Other secondary osteonecrosis, unspecified femur
└M87.353Other secondary osteonecrosis, unspecified femur