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M87.879

Billable

Other osteonecrosis, unspecified toe(s)

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 toe(s) of unspecified side due to causes other than trauma, infection, or radiation. This can cause pain and difficulty walking or wearing shoes.

Coding Tips

  • Use this code only when laterality (right vs. left) is not documented; query provider if laterality can be determined
  • This is a less specific code; attempt to obtain laterality information for more precise coding

Clinical Significance

Unspecified toe osteonecrosis represents avascular bone death in toe bones without documented laterality, potentially indicating bilateral involvement or incomplete documentation. This condition can affect gait stability and balance, requiring comprehensive foot care management.

Documentation Requirements

  • Documentation of toe osteonecrosis without side specification
  • Bilateral toe assessment if both sides potentially affected
  • Exclusion of trauma, infection, and radiation as causes
  • Comprehensive gait and balance evaluation
  • Pain assessment and functional impact on ambulation
  • Underlying disease evaluation (diabetes, peripheral vascular disease)
  • Coordinated podiatric and orthopedic care
  • Prevention strategies for secondary complications

Commonly Confused Codes

Code Hierarchy

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