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M87.373

Billable

Other secondary osteonecrosis, unspecified 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 ankle caused by an underlying condition or treatment, with the side not specified.

Coding Tips

  • Query provider to determine laterality (right vs. left) rather than using unspecified code when possible
  • Ensure secondary cause documentation is present to justify the diagnosis and guide treatment

Clinical Significance

This diagnosis represents secondary osteonecrosis of the ankle when laterality is not specified, caused by underlying conditions that can significantly impact mobility and weight-bearing. It requires identification of the causative factor and monitoring for joint complications.

Documentation Requirements

  • Documentation of osteonecrosis affecting ankle without side specification
  • Identification of underlying cause (e.g., corticosteroid use, radiation therapy, previous trauma)
  • Imaging findings confirming ankle bone necrosis
  • Clinical symptoms such as ankle pain, swelling, or stiffness
  • Functional limitations affecting walking and weight-bearing
  • Duration and progression of condition
  • Treatment history and response
  • Reason why laterality cannot be determined or if bilateral involvement

Commonly Confused Codes

Code Hierarchy

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