M87.361

HCC Category Mapping

What This Code Means

Death of bone tissue in the right shinbone caused by an underlying condition or treatment, which can cause pain and affect walking ability.

Coding Tips

• •Tibial osteonecrosis is less common than femoral; ensure documentation clearly supports this location
• •Confirm right side is documented before assigning this laterality-specific code

Clinical Significance

This diagnosis represents secondary osteonecrosis of the right tibia caused by underlying conditions, which can significantly impact weight-bearing and ambulation. It requires management of the causative factor and monitoring for potential complications including joint involvement.

Documentation Requirements

• ✓Documentation of osteonecrosis affecting right tibia
• ✓Identification of underlying cause (e.g., corticosteroid use, radiation therapy, sickle cell disease)
• ✓Imaging findings confirming tibial bone necrosis (MRI, X-ray, CT)
• ✓Clinical symptoms such as shin pain, swelling, or difficulty walking
• ✓Specific location within tibia (proximal, mid-shaft, distal)
• ✓Functional limitations affecting mobility
• ✓Duration and progression of condition
• ✓Treatment history and response to interventions

Commonly Confused Codes