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M87.052
ICD-10-CM
Left Hip Avascular Necrosis

Find information on Left Hip Avascular Necrosis including diagnosis codes, clinical documentation requirements, and healthcare resources. Learn about ICD-10 codes for avascular necrosis of the left femoral head, treatment options, and medical coding guidelines for accurate reporting. Explore resources for healthcare professionals related to left hip osteonecrosis, bone infarction, and stages of AVN. This page provides essential details for physicians, coders, and healthcare providers managing left hip avascular necrosis.

Also known as

Osteonecrosis of the Left Hip
Aseptic Necrosis of the Left Femur

Diagnosis Snapshot

Key Facts
  • Definition : Bone tissue death in the hip joint due to interrupted blood supply.
  • Clinical Signs : Groin pain, stiffness, limited range of motion, worsening with activity.
  • Common Settings : Trauma, steroid use, excessive alcohol intake, sickle cell disease.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M87.052 Coding
M87.0-

Avascular necrosis of bone

Bone tissue death due to lack of blood supply.

M91-M94

Other osteopathies

Bone diseases not classified elsewhere, including osteonecrosis.

M00-M25

Arthropathies

Joint diseases potentially related to avascular necrosis complications.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the avascular necrosis traumatic?

  • Yes

    Site specified?

  • No

    Due to underlying condition?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Hip AVN
Right Hip AVN
Osteonecrosis of Femoral Head

Documentation Best Practices

Documentation Checklist
  • Avascular necrosis left hip ICD-10 documentation
  • Document symptom onset, duration, and severity
  • Include imaging findings confirming AVN diagnosis
  • Specify stage of AVN (Ficat or ARCO)
  • Note any prior hip trauma or corticosteroid use

Coding and Audit Risks

Common Risks
  • Laterality Coding

    Missing or incorrect laterality (left hip) can lead to claim denials or inaccurate reimbursement. ICD-10-CM requires specific laterality coding.

  • Specificity of Diagnosis

    Coding AVN requires specifying the cause, if known (e.g., traumatic, steroid-induced). Lack of specificity impacts data quality and reimbursement.

  • Documentation Clarity

    Vague or insufficient documentation makes accurate coding difficult. Clear clinical documentation supporting AVN is crucial for compliant coding.

Mitigation Tips

Best Practices
  • Early diagnosis via MRI, ICD-10 M91.1, improves AVN prognosis.
  • Document bone density, pain levels (e.g., VAS), ROM for accurate CPT coding.
  • Core decompression surgery (CPT 27130) can halt AVN progression if early.
  • Bisphosphonates (J3490) slow AVN. ICD-10 M87.8 documented for compliance.
  • Total hip arthroplasty (CPT 27130) for advanced AVN. Document pre-op status.

Clinical Decision Support

Checklist
  • 1. Verify hip pain/stiffness documented (ICD-10 M87.1-)
  • 2. Groin pain? Limited ROM? Antalgic gait? Document.
  • 3. Imaging (X-ray/MRI) confirms AVN? (SNOMED CT 7337002)
  • 4. Corticosteroid use, trauma, or other risk factors noted?

Reimbursement and Quality Metrics

Impact Summary
  • Left Hip Avascular Necrosis reimbursement hinges on accurate ICD-10 (M91.1-) and CPT coding for procedures like core decompression or hip replacement. Impacts:
  • Coding errors delay reimbursement, affecting revenue cycle management.
  • Accurate HCC coding (e.g., RAF scores) impacts risk adjustment and future reimbursements.
  • Quality metrics like length of stay, complication rates, and patient-reported outcomes are crucial for value-based care.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code M87.3 for AVN left hip
  • Document necrosis extent
  • Specify cause if known
  • Query physician if unclear
  • Consider laterality codes

Documentation Templates

Patient presents with complaints of left hip pain, consistent with a clinical picture of avascular necrosis (AVN) of the femoral head.  The onset of pain was [gradual/acute], initially described as [aching/sharp/throbbing] and located in the [groin/buttock/thigh/anterior hip/posterior hip], with possible radiation to the [knee/lower back].  Pain is [aggravated/alleviated] by [weight-bearing/rest/activity/specific movements - specify].  The patient reports [limited range of motion/stiffness/clicking/catching] in the left hip.  Physical examination reveals [positive/negative] Trendelenburg sign, [restricted/normal] internal and external rotation, abduction, and flexion of the left hip.  Palpation elicits tenderness over the [anterior/lateral/posterior] aspect of the left hip joint.  The patient denies any history of [trauma/steroid use/alcohol abuse/sickle cell disease/lupus/other relevant conditions].  Radiographic imaging (X-ray, MRI, bone scan) of the left hip was ordered to evaluate for osteonecrosis, femoral head collapse, and joint space narrowing.  Differential diagnoses include osteoarthritis, labral tear, femoral neck stress fracture, and trochanteric bursitis.  Preliminary diagnosis of left hip avascular necrosis is suspected.  Treatment plan includes [conservative management with pain medication NSAIDs, activity modification, physical therapy] andor [surgical intervention such as core decompression, osteotomy, total hip arthroplasty (THA)] depending on disease stage and patient's functional status.  Follow-up appointment scheduled to review imaging results and discuss further management options.  ICD-10 code M91.12 assigned.
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