M87.371
BillableOther secondary osteonecrosis, right ankle
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 right ankle caused by an underlying condition or treatment such as radiation, corticosteroids, or previous trauma.
Coding Tips
- •Confirm right ankle is the correct site; ankle osteonecrosis may affect talus or other ankle bones
- •Link this code to the documented secondary cause (e.g., post-radiation, post-traumatic) for complete clinical picture
Clinical Significance
This diagnosis represents secondary osteonecrosis of the right ankle caused by underlying conditions such as radiation, corticosteroids, or previous trauma, which can significantly impact mobility and weight-bearing function. It requires management of the underlying cause and monitoring for joint collapse.
Documentation Requirements
- ✓Documentation of osteonecrosis affecting right ankle bones
- ✓Identification of underlying cause (e.g., corticosteroid use, radiation therapy, previous trauma)
- ✓Imaging findings confirming ankle bone necrosis (MRI, X-ray, CT)
- ✓Clinical symptoms such as ankle pain, swelling, or stiffness
- ✓Specific ankle bones affected (talus, calcaneus, etc.)
- ✓Functional limitations affecting walking and weight-bearing
- ✓Duration and progression of condition
- ✓Treatment history including conservative and surgical options
Commonly Confused Codes
M87.372 — Other secondary osteonecrosis, left ankle (different laterality)M87.373 — Other secondary osteonecrosis, unspecified ankle (laterality not specified)M86.171 — Chronic osteomyelitis of right ankle (infection vs necrosis)S93.401A — Sprain of unspecified ligament of right ankle (acute injury vs necrosis)M19.071 — Primary osteoarthritis of right ankle (arthritis vs necrosis)
Code Hierarchy
└M87Osteonecrosis└M87.3Other secondary osteonecrosis└M87.37Other secondary osteonecrosis, ankle and foot└M87.371Other secondary osteonecrosis, right ankle
└M87.371Other secondary osteonecrosis, right ankle