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M87.836

Billable

Other osteonecrosis of unspecified ulna

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 ulna (smaller forearm bone) when the specific side (left or right) is not documented or is unclear.

Coding Tips

  • This is a default code when laterality is not specified; attempt to clarify with provider documentation
  • Check if bilateral osteonecrosis is present, which would require separate codes for each side

Clinical Significance

Unspecified ulna osteonecrosis represents a chronic bone condition with potential for significant functional disability and ongoing care requirements. This diagnosis is important for risk adjustment as it indicates complex orthopedic management needs and the potential for progressive bone deterioration.

Documentation Requirements

  • Documentation of osteonecrosis affecting the ulna bone
  • Specification that the condition is from causes other than idiopathic or traumatic
  • Evidence that laterality (right or left) is not specified or cannot be determined
  • Imaging studies confirming bone necrosis in the ulna
  • Clinical presentation including forearm or elbow pain and functional impairment
  • Exclusion of infectious or drug-induced causes
  • Assessment of impact on arm function and quality of life
  • Provider documentation of monitoring and treatment plans

Commonly Confused Codes

Code Hierarchy

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