M87.372
BillableOther secondary osteonecrosis, left 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 left ankle caused by an underlying condition or treatment such as radiation, corticosteroids, or previous trauma.
Coding Tips
- •Verify left ankle laterality in documentation; clarify if talus or other specific ankle bone is affected
- •Document the secondary cause and any functional limitations to support medical necessity and treatment planning
Clinical Significance
This diagnosis represents secondary osteonecrosis of the left 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 left 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
M87.371 — Other secondary osteonecrosis, right ankle (different laterality)M87.373 — Other secondary osteonecrosis, unspecified ankle (laterality not specified)M86.172 — Chronic osteomyelitis of left ankle (infection vs necrosis)S93.402A — Sprain of unspecified ligament of left ankle (acute injury vs necrosis)M19.072 — Primary osteoarthritis of left ankle (arthritis vs necrosis)
Code Hierarchy
└M87Osteonecrosis└M87.3Other secondary osteonecrosis└M87.37Other secondary osteonecrosis, ankle and foot└M87.372Other secondary osteonecrosis, left ankle
└M87.372Other secondary osteonecrosis, left ankle