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M87.852

Billable

Other osteonecrosis, left femur

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 left thighbone (femur) due to interrupted blood supply, commonly affecting the femoral head.

Coding Tips

  • Confirm left-sided femoral involvement in documentation and imaging reports
  • Document the stage of osteonecrosis if available, as it may affect treatment planning

Clinical Significance

Left femur osteonecrosis represents a serious condition with potential for femoral head collapse and severe disability. This diagnosis is critically important for risk adjustment as it often requires major orthopedic intervention, extensive rehabilitation, and may result in permanent mobility limitations affecting quality of life and independence.

Documentation Requirements

  • Clear specification of the left femur as the site of osteonecrosis
  • Documentation that the condition results from causes other than idiopathic or drug-related
  • High-quality imaging (MRI, CT) confirming left femoral bone necrosis
  • Clinical presentation including left hip pain, functional limitation, and gait abnormalities
  • Exclusion of infectious or traumatic etiologies
  • Assessment of disease progression and femoral head integrity
  • Documentation of impact on weight-bearing and mobility
  • Provider evaluation of treatment options including joint replacement considerations

Commonly Confused Codes

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