ICD-10-CM Billable Code

M87.211

Osteonecrosis due to previous trauma, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Osteonecrosis, also known as avascular necrosis, is a condition that occurs when there is a loss of blood supply to a bone, leading to bone tissue death. When this affects the right shoulder due to previous trauma, it can cause significant pain and limited mobility. This article provides an easy-to-understand overview of osteonecrosis caused by trauma in the right shoulder, including its causes, symptoms, diagnosis, and treatment options.

Causes & Symptoms

Clinical Causes: Previous injury or trauma to the shoulder that damages blood vessels supplying the bone. Fractures or dislocations in the shoulder region which impair blood flow to the humeral head. Repeated trauma or impact injuries over time weakening blood supply. Certain medical conditions or treatments that increase the risk, although in this context, trauma is the primary cause.

Key Symptoms: Pain in the shoulder that worsens with activity or movement. Limited range of motion or stiffness in the shoulder joint. Tenderness when pressing on the affected area. Weakness in the shoulder muscles. Possible swelling around the shoulder joint. In advanced cases, the shoulder may feel unstable or there may be a grinding sensation during movement.

Diagnostic & Treatment

Diagnosis Path: The diagnosis of osteonecrosis due to trauma involves a combination of medical history, physical examination, and imaging studies. A healthcare professional may order:

Treatment Protocols: Treatment approaches aim to relieve pain, prevent further bone damage, and restore shoulder function. Options 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 M87.211 a billable ICD-10 code?
Yes, M87.211 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M87.211?
Clinical documentation must specify the nature of Osteonecrosis due to previous trauma, right shoulder and any associated comorbidities for accurate reporting.

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