M90.531
BillableOsteonecrosis in diseases classified elsewhere, right forearm
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 right forearm caused by another disease or condition affecting the body.
Coding Tips
- •Forearm includes the radius and ulna bones; confirm the underlying etiology is documented
- •This is a secondary code - the primary diagnosis should be the disease causing the osteonecrosis
Clinical Significance
Secondary osteonecrosis of the right forearm represents bone death in the radius and/or ulna caused by underlying systemic disease, potentially affecting hand and wrist function. This condition requires management of both the primary disease and skeletal complications to prevent further deterioration.
Documentation Requirements
- ✓Underlying causative disease documented and coded first
- ✓Right forearm (radius/ulna) specifically identified as affected site
- ✓Clinical evidence of bone tissue death present
- ✓Imaging studies confirming forearm osteonecrosis
- ✓Assessment of right arm and hand function
- ✓Treatment plan for primary condition and bone complications
- ✓Documentation of any associated wrist or elbow involvement
Commonly Confused Codes
M87.031 — Idiopathic aseptic necrosis of right radius (primary osteonecrosis)M90.532 — Osteonecrosis in diseases classified elsewhere, left forearm (wrong laterality)M90.539 — Osteonecrosis in diseases classified elsewhere, unspecified forearm (lacks laterality)M84.431 — Pathological fracture, right radius (fracture complication, not necrosis)
Code Hierarchy
└M90Osteopathies in diseases classified elsewhere└M90.5Osteonecrosis in diseases classified elsewhere└M90.53Osteonecrosis in diseases classified elsewhere, forearm└M90.531Osteonecrosis in diseases classified elsewhere, right forearm
└M90.531Osteonecrosis in diseases classified elsewhere, right forearm