M87.8 ICD-10-CM Code: Other osteonecrosis
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 3 Excludes1 · 1 use-additional code
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for M87.8 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on M87.8 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- avascular necrosis of bone
Source: inherited from M87
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- juvenile osteonecrosis (M91-M92) inherited from M87Compare M87.8 vs M91 →
- osteochondropathies (M90-M93) inherited from M87Compare M87.8 vs M90 →
- postprocedural osteopathies (M96.-) inherited from M86-M90Compare M87.8 vs M96 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify major osseous defect, if applicable (M89.7-)
Source: inherited from M87
Coder workflow for M87.8
MedCoder structured workflow — derived from this code’s own official record
Before you code M87.8
- M87.8 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewM87.80, M87.81, M87.82, M87.83
See the relationships section · Guide: How to choose an ICD-10-CM code →
- “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on M87.8; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with M87.8. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath M87.8?
Yes → Select that code and continue the checks below on its own page.
No → M87.8 cannot be reported as written; query for the specificity its subcategory needs. - Does the documentation support a condition named in M87.8’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.ReviewM96
Consider M87.8. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- The conditions the Use Additional Code note names
- Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
- Any detail beyond this code’s title
- What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes1 — check before selecting M87.8(3 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with M87.8: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareM96
See the official tabular notes · Guidelines I.A.12.a
Use Additional Code — after identifying M87.8(1 note)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with M87.8 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
ReviewM89.7
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition M87.8 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
ReviewM96
Documentation: A condition the Use Additional Code note names is documented.
Coding question: Is a second code reported with M87.8?
Path: Review the Use Additional Code note and the code it names.
Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).
ReviewM89.7
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- Not billable as written — a more specific code is required: M87.80, M87.811, M87.812, M87.819, M87.821.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name M87.8 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Code First instruction: M89.7 — Major osseous defect (via M87.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
Contextual Map
Every relationship of M87.8 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run M87.8 with this related code in Claim Check
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M86-M90 — Other osteopathies[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Code First instructions
- M89.7 — Major osseous defect[Code First](via M87.-): “aseptic necrosis of bone (M87.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (40)
- M87 — Osteonecrosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M87.353 — Other secondary osteonecrosis, unspecified femur[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M87.36 — Other secondary osteonecrosis, tibia and fibula[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M87.361 — Other secondary osteonecrosis, right tibia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M87.362 — Other secondary osteonecrosis, left tibia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M87.363 — Other secondary osteonecrosis, unspecified tibia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M87.364 — Other secondary osteonecrosis, right fibula[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- M87.365 — Other secondary osteonecrosis, left fibula[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can M87.8 be billed directly?
No. M87.8 (Other osteonecrosis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "M87.8 — Other osteonecrosis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/m87.8-other-osteonecrosis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionOther osteonecrosis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M87.8 in its code family, with their registry titles.
- M87.377 — Other secondary osteonecrosis, right toe(s)
- M87.378 — Other secondary osteonecrosis, left toe(s)
- M87.379 — Other secondary osteonecrosis, unspecified toe(s)
- M87.38 — Other secondary osteonecrosis, other site
- M87.39 — Other secondary osteonecrosis, multiple sites
- M87.80 — Other osteonecrosis, unspecified bone
- M87.81 — Other osteonecrosis, shoulder
- M87.811 — Other osteonecrosis, right shoulder
- M87.812 — Other osteonecrosis, left shoulder
- M87.819 — Other osteonecrosis, unspecified shoulder