M87.819

HCC Category Mapping

What This Code Means

Death of bone tissue in the shoulder area from causes other than typical classified causes, where the specific shoulder side is not specified.

Coding Tips

• •Use only when laterality cannot be determined from documentation
• •Query the provider if laterality information is available to assign a more specific code

Clinical Significance

This diagnosis represents osteonecrosis of the shoulder when laterality is not specified, from causes other than typical classified causes. It requires identification of the underlying etiology and monitoring for joint complications that could impact upper extremity function.

Documentation Requirements

• ✓Documentation of osteonecrosis affecting shoulder without side specification
• ✓Clear description of the underlying cause (other than typical secondary causes)
• ✓Imaging findings confirming shoulder bone necrosis
• ✓Clinical symptoms such as shoulder pain, stiffness, or limited range of motion
• ✓Functional limitations affecting arm use
• ✓Duration and progression of condition
• ✓Treatment history and response
• ✓Reason why laterality cannot be determined or if bilateral involvement

Commonly Confused Codes