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M87.811 vs M87.819

M87.811 (Other osteonecrosis, right shoulder) compared with M87.819 (Other osteonecrosis, unspecified shoulder), from the official CMS tabular data. M87.811 and M87.819 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M87.811
Right
Other osteonecrosis, right shoulder
M87.819
Unspecified
Other osteonecrosis, unspecified shoulder

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. M87.811 and M87.819 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

M87.811Other osteonecrosis, right shoulderM87.819Other osteonecrosis, unspecified shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionOther osteonecrosis, right shoulder is a billable ICD-10-CM diagnosis code (M87.811).Other osteonecrosis, unspecified shoulder is a billable ICD-10-CM diagnosis code (M87.819).
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