ICD-10-CM Billable Code

M87.25

Osteonecrosis due to previous trauma, pelvis and femur

Clinical Classification Guidelines

Medical Intelligence & Overview

Osteonecrosis, also known as avascular necrosis, is a condition where there is death of bone tissue caused by a lack of blood supply. When this occurs in the pelvis and femur due to a previous injury, it can lead to pain, limited mobility, and joint problems. The specific ICD-10 code M87.25 is used to classify cases where osteonecrosis results directly from trauma affecting these areas. Recognizing this condition early is important to manage symptoms and prevent further bone damage.

Causes & Symptoms

Clinical Causes: Trauma or injury to the pelvis or femur resulting in compromised blood flow Fractures in the hip or thigh bones that impair blood supply Dislocations or severe bruises in the area that damage blood vessels Repeated injuries or stress to the hip joint Complications from surgeries or medical procedures involving the pelvis or femur

Key Symptoms: Pain in the hip, groin, or thigh, which can worsen with activity or weight-bearing Limited range of motion in the affected joint Stiffness and swelling in the hip or upper thigh Weakness or a feeling of instability in the joint Possible visible deformity if the bone tissue deteriorates significantly

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of medical history, physical examination, and imaging studies. Key diagnostic tools include:

Treatment Protocols: Management of osteonecrosis caused by trauma aims to relieve symptoms, halt progression, and preserve joint function. Treatment options may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M87.25 a billable ICD-10 code?
Yes, M87.25 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M87.25?
Clinical documentation must specify the nature of Osteonecrosis due to previous trauma, pelvis and femur and any associated comorbidities for accurate reporting.

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