M87.812
BillableOther osteonecrosis, left shoulder
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 shoulder joint from causes other than the typical classified causes.
Coding Tips
- •Confirm left-sided involvement is clearly documented in the medical record
- •Distinguish from secondary osteonecrosis codes (M87.2x) if an underlying cause is identified
Clinical Significance
This diagnosis represents osteonecrosis of the left shoulder from causes other than the typical classified causes, which can significantly impact upper extremity function and quality of life. It requires identification of the underlying etiology and monitoring for joint complications.
Documentation Requirements
- ✓Documentation of osteonecrosis affecting left shoulder
- ✓Clear description of the underlying cause (other than typical secondary causes)
- ✓Imaging findings confirming shoulder bone necrosis (MRI, X-ray, CT)
- ✓Clinical symptoms such as shoulder pain, stiffness, or limited range of motion
- ✓Specific shoulder structures affected (humeral head, glenoid, etc.)
- ✓Functional limitations affecting arm use
- ✓Duration and progression of condition
- ✓Treatment history including conservative and surgical options
Commonly Confused Codes
M87.811 — Other osteonecrosis, right shoulder (different laterality)M87.819 — Other osteonecrosis, unspecified shoulder (laterality not specified)M87.312 — Other secondary osteonecrosis, left shoulder (secondary vs other causes)M86.112 — Acute osteomyelitis of left shoulder (infection vs necrosis)M19.012 — Primary osteoarthritis of left shoulder (arthritis vs necrosis)
Code Hierarchy
└M87Osteonecrosis└M87.8Other osteonecrosis└M87.81Other osteonecrosis, shoulder└M87.812Other osteonecrosis, left shoulder
└M87.812Other osteonecrosis, left shoulder