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M87.372

Billable

Other secondary osteonecrosis, left ankle

HCC Category Mapping

V28HCC 92Bone/Joint/Muscle Infections/Necrosis
0.209
V24HCC 39Bone/Joint/Muscle Infections/Necrosis
0.482
ESRDHCC 39Bone/Joint/Muscle Infections/Necrosis
0.000
RxHCCHCC 80Bone/Joint/Muscle Infections/Necrosis
0.000

What 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

Code Hierarchy

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