T87.51
BillableNecrosis of amputation stump, right upper extremity
HCC Category Mapping
V28HCC 409 — Amputation Status, Lower Limb/Amputation Complications
0.350V24HCC 189 — Amputation Status, Lower Limb/Amputation Complications
0.350ESRDHCC 189 — Amputation Status, Lower Limb/Amputation Complications
0.000What This Code Means
Death of tissue (necrosis) occurring at the site of a right arm amputation, which may require surgical revision.
Coding Tips
- •Distinguish between partial and complete necrosis in documentation
- •Coordinate with surgical notes if revision amputation or debridement is performed
Clinical Significance
Necrosis of right upper extremity amputation stump represents critical tissue death requiring urgent surgical debridement or revision amputation. This complication severely compromises prosthetic rehabilitation and may indicate underlying vascular compromise or infection.
Documentation Requirements
- ✓Specific documentation of right upper extremity amputation stump
- ✓Clinical findings of tissue necrosis with extent described
- ✓Vascular assessment including pulse examination and perfusion
- ✓Photographic documentation when available
- ✓Surgical debridement or revision plans
- ✓Assessment of viable versus nonviable tissue
- ✓Impact on functional rehabilitation and prosthetic candidacy
- ✓Contributing factors such as diabetes or smoking
Commonly Confused Codes
T87.52 — Left upper extremity necrosis vs right upper extremityT87.50 — Unspecified extremity when specific site is documentedT87.53-T87.54 — Lower extremity necrosis vs upper extremityT87.41 — Infection of right upper extremity vs necrotic changesI96 — Gangrene NEC vs amputation stump-specific necrosis
Code Hierarchy
└T87Complications peculiar to reattachment and amputation└T87.5Necrosis of amputation stump└T87.51Necrosis of amputation stump, right upper extremity
└T87.51Necrosis of amputation stump, right upper extremity