ICD-10 Coding for Avascular Necrosis of the Left Hip(M87.852)
Complete ICD-10-CM coding and documentation guide for Avascular Necrosis of the Left Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Avascular Necrosis of the Left Hip
M87.0-M87.9Primary Range
Osteonecrosis
This range includes all codes related to osteonecrosis, including avascular necrosis of the femur.
Key Information: ICD-10 code for avascular necrosis left hip
Essential facts and insights about Avascular Necrosis of the Left Hip
Primary ICD-10-CM Code for avascular necrosis left hip
Decision Criteria
clinical Criteria
- MRI shows characteristic signs of AVN
documentation Criteria
- Laterality and stage are specified in the medical record
Applicable To
- Avascular necrosis of the left femoral head
Clinical Validation Requirements
- MRI showing 'double line sign' or crescent sign
- X-ray demonstrating subchondral collapse
Code-Specific Risks
- Incorrectly coding unspecified laterality
- Failing to document the stage of AVN
Coding Notes
- Ensure laterality and stage are documented for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Avascular Necrosis of the Left Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M87.852.
Impact
Clinical: Leads to incomplete diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Always document the suspected or known cause of AVN.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical research and reporting.
Mitigation Strategy
Always specify left or right femur in documentation.
Impact
Missing laterality or stage can trigger audits.
Mitigation Strategy
Implement documentation checklists for AVN cases.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Avascular Necrosis of the Left Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Avascular Necrosis of the Left Hip
Use these documentation templates to ensure complete and accurate documentation for Avascular Necrosis of the Left Hip. These templates include all required elements for proper coding and billing.
Orthopedic Progress Note
Specialty: OrthopedicsRequired Elements
- Patient history
- Imaging findings
- Stage of AVN
- Etiology
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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