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M87.861 vs M87.863

M87.861 (Other osteonecrosis, right tibia) compared with M87.863 (Other osteonecrosis, unspecified tibia), from the official CMS tabular data. M87.861 and M87.863 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M87.861
Right
Other osteonecrosis, right tibia
M87.863
Unspecified
Other osteonecrosis, unspecified tibia

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. M87.861 and M87.863 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

M87.861Other osteonecrosis, right tibiaM87.863Other osteonecrosis, unspecified tibia
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 tibia is a billable ICD-10-CM diagnosis code (M87.861).Other osteonecrosis, unspecified tibia is a billable ICD-10-CM diagnosis code (M87.863).
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