ICD-10 Coding for Left Hip Avascular Necrosis(M87.052, M87.852)
Complete ICD-10-CM coding and documentation guide for Left Hip Avascular Necrosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Hip Avascular Necrosis
M87.0-M87.9Primary Range
Osteonecrosis
This range includes codes for different types of osteonecrosis, including idiopathic and secondary causes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M87.052 | Idiopathic aseptic necrosis of left femur | Use when AVN is idiopathic and affects the left femur. |
|
| M87.852 | Other osteonecrosis, left femur | Use when AVN is secondary to another condition or factor. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for left hip avascular necrosis
Essential facts and insights about Left Hip Avascular Necrosis
Primary ICD-10-CM Codes for left hip avascular necrosis
Decision Criteria
clinical Criteria
- Confirmed idiopathic AVN via imaging and clinical assessment
Applicable To
- Idiopathic AVN of left femur
Excludes
- Secondary osteonecrosis (M87.852)
Clinical Validation Requirements
- MRI findings of subchondral collapse or crescent sign
- Exclusion of secondary causes
Code-Specific Risks
- Misclassification if secondary cause is present
Coding Notes
- Ensure idiopathic nature is documented.
M87.852 - Other osteonecrosis, left femur
Use when AVN is secondary to another condition or factor.
Applicable To
- Secondary AVN of left femur
Excludes
- Idiopathic osteonecrosis (M87.052)
Clinical Validation Requirements
- Documentation of secondary cause (e.g., corticosteroid use, trauma)
Coding Notes
Document secondary cause clearly.
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 Left Hip Avascular Necrosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M87.052.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always document the cause of AVN if known.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding specificity requirements., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Always specify laterality if documented.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Ensure documentation supports specific code selection.
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 Left Hip Avascular Necrosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Hip Avascular Necrosis
Use these documentation templates to ensure complete and accurate documentation for Left Hip Avascular Necrosis. These templates include all required elements for proper coding and billing.
Initial Diagnosis of AVN
Specialty: OrthopedicsRequired Elements
- Patient history
- Imaging results
- Etiology and stage
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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