M87.39

HCC Category Mapping

What This Code Means

Death of bone tissue occurring in multiple different locations throughout the body, caused by an underlying disease or condition.

Coding Tips

• •Use this code when secondary osteonecrosis affects two or more distinct anatomical sites
• •Consider documenting all affected sites in the clinical notes for comprehensive care planning

Clinical Significance

This diagnosis represents secondary osteonecrosis occurring simultaneously in multiple anatomical sites throughout the body, caused by systemic underlying conditions. It indicates a more severe, widespread condition requiring comprehensive management of both the underlying cause and multiple affected sites.

Documentation Requirements

• ✓Documentation of osteonecrosis affecting multiple different anatomical sites
• ✓Clear identification of all anatomical locations affected
• ✓Identification of underlying systemic cause (e.g., corticosteroid use, radiation therapy, systemic disease)
• ✓Imaging findings confirming bone necrosis at multiple sites
• ✓Clinical symptoms related to each affected site
• ✓Functional limitations from multiple site involvement
• ✓Duration and progression of condition across sites
• ✓Comprehensive treatment plan addressing multiple locations

Commonly Confused Codes