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M87.277 vs M87.278

M87.277 (Osteonecrosis due to previous trauma, right toe(s)) compared with M87.278 (Osteonecrosis due to previous trauma, left toe(s)), from the official CMS tabular data. M87.277 and M87.278 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M87.277
Right
Osteonecrosis due to previous trauma, right toe(s)
M87.278
Left
Osteonecrosis due to previous trauma, left toe(s)

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M87.277 and M87.278 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M87.277Osteonecrosis due to previous trauma, right toe(s)M87.278Osteonecrosis due to previous trauma, left toe(s)
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionOsteonecrosis due to previous trauma, right toe(s) is a billable ICD-10-CM diagnosis code (M87.277).Osteonecrosis due to previous trauma, left toe(s) is a billable ICD-10-CM diagnosis code (M87.278).
Includes
avascular necrosis of bone
avascular necrosis of bone
Use additional code
code to identify major osseous defect, if applicable (M89.7-)
code to identify major osseous defect, if applicable (M89.7-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources