ICD-10 Coding for Right Hip Avascular Necrosis(M87.051, M87.151, M87.251)
Complete ICD-10-CM coding and documentation guide for Right 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 Right Hip Avascular Necrosis
M87.0-M87.9Primary Range
Osteonecrosis
This range includes codes for avascular necrosis of the bone, specifically addressing different etiologies and locations, including the right hip.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M87.051 | Idiopathic aseptic necrosis of right femur | Use when AVN is confirmed idiopathic with no underlying cause. |
|
| M87.151 | Osteonecrosis due to drugs, right femur | Use when AVN is directly linked to drug use. |
|
| M87.251 | Osteonecrosis due to trauma, right femur | Use when AVN is a result of trauma. |
|
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 right hip avascular necrosis
Essential facts and insights about Right Hip Avascular Necrosis
Primary ICD-10-CM Codes for right hip avn
Decision Criteria
clinical Criteria
- Confirmed AVN with no identifiable cause
documentation Criteria
- MRI findings and absence of trauma or drug use
Applicable To
- Idiopathic avascular necrosis of right femoral head
Excludes
- Post-traumatic osteonecrosis (M87.25-)
Clinical Validation Requirements
- MRI confirmation of necrosis
- Absence of identifiable cause
Code-Specific Risks
- Risk of unspecified coding if etiology is not documented.
Coding Notes
- Ensure documentation specifies idiopathic nature and confirms with imaging.
M87.151 - Osteonecrosis due to drugs, right femur
Use when AVN is directly linked to drug use.
Applicable To
- Drug-induced avascular necrosis of right femoral head
Excludes
- Idiopathic osteonecrosis (M87.051)
Clinical Validation Requirements
- Documented history of drug use, particularly corticosteroids
- MRI showing necrosis pattern
Coding Notes
Ensure drug use is clearly documented in the patient's history.
M87.251 - Osteonecrosis due to trauma, right femur
Use when AVN is a result of trauma.
Applicable To
- Post-traumatic avascular necrosis of right femoral head
Excludes
- Idiopathic osteonecrosis (M87.051)
Clinical Validation Requirements
- History of trauma to the hip
- Imaging showing necrosis adjacent to fracture site
Coding Notes
Document trauma history and confirm with imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right hip
M25.551Differential 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 Right Hip Avascular Necrosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M87.051.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of audit failure., Financial: Can result in claim denials or reduced payments.
Mitigation Strategy
Ensure all imaging results are included in the patient record., Use standardized templates for documentation.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Increases risk of audit due to unspecified coding., Data Quality: Impacts accuracy of clinical data and patient records.
Mitigation Strategy
Always document and code the specific cause of AVN if known.
Impact
Using unspecified codes increases audit risk.
Mitigation Strategy
Always document and code the specific etiology of AVN.
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 Right Hip Avascular Necrosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Hip Avascular Necrosis
Use these documentation templates to ensure complete and accurate documentation for Right Hip Avascular Necrosis. These templates include all required elements for proper coding and billing.
Orthopedic evaluation for right hip AVN
Specialty: OrthopedicsRequired Elements
- Patient history including drug use or trauma
- Detailed physical examination findings
- Imaging results with stage classification
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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