ICD-10 Coding for Subchondral Segmental Osteonecrosis of the Hip(M87.351, M87.352)
Complete ICD-10-CM coding and documentation guide for Subchondral Segmental Osteonecrosis of the Hip. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Subchondral Segmental Osteonecrosis of the Hip
M87.35-M87.359Primary Range
Osteonecrosis due to other cause, hip
This range includes codes for osteonecrosis of the hip due to various causes, specifying laterality and underlying conditions.
Pathological fracture, hip
Used when a pathological fracture is present, differentiating from osteonecrosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M87.351 | Osteonecrosis due to other cause, right hip | Use when MRI confirms segmental subchondral collapse with crescent sign and no history of trauma. |
|
| M87.352 | Osteonecrosis due to other cause, left hip | Use when MRI confirms segmental subchondral collapse with crescent sign and no history 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 subchondral segmental osteonecrosis hip
Essential facts and insights about Subchondral Segmental Osteonecrosis of the Hip
Primary ICD-10-CM Codes for subchondral segmental osteonecrosis hip
Decision Criteria
clinical Criteria
- MRI shows segmental subchondral collapse with crescent sign.
documentation Criteria
- Detailed MRI findings and patient history of corticosteroid use.
Applicable To
- Segmental subchondral collapse
- Crescent sign on MRI
Excludes
- Post-traumatic osteonecrosis (M87.25-)
Clinical Validation Requirements
- MRI showing segmental subchondral collapse
- Crescent sign present
Code-Specific Risks
- Confusion with insufficiency fractures if MRI is not reviewed.
Coding Notes
- Ensure laterality is specified and MRI findings are documented.
M87.352 - Osteonecrosis due to other cause, left hip
Use when MRI confirms segmental subchondral collapse with crescent sign and no history of trauma.
Applicable To
- Segmental subchondral collapse
- Crescent sign on MRI
Excludes
- Post-traumatic osteonecrosis (M87.25-)
Clinical Validation Requirements
- MRI showing segmental subchondral collapse
- Crescent sign present
Coding Notes
Ensure laterality is specified and MRI findings are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of corticosteroids
Z79.51Differential 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 Subchondral Segmental Osteonecrosis of the Hip to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M87.351.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure MRI findings are detailed in the notes., Include patient history relevant to osteonecrosis.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in clinical data.
Mitigation Strategy
Always specify laterality using M87.351 or M87.352.
Impact
Lack of detailed MRI findings can lead to audit issues.
Mitigation Strategy
Ensure all MRI findings are documented in detail.
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 Subchondral Segmental Osteonecrosis of the Hip, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Subchondral Segmental Osteonecrosis of the Hip
Use these documentation templates to ensure complete and accurate documentation for Subchondral Segmental Osteonecrosis of the Hip. These templates include all required elements for proper coding and billing.
Orthopedics Progress Note
Specialty: OrthopedicsRequired Elements
- Subjective: Patient's pain description
- Objective: Physical exam findings
- Imaging: MRI results
- Assessment: Diagnosis with ICD-10 code
- Plan: Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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