M87.39 Other secondary osteonecrosis, multiple sites

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from M87 Osteonecrosis

Includes

• avascular necrosis of bone

Excludes1 (never code together)

• juvenile osteonecrosis (M91-M92)
• osteochondropathies (M90-M93)

Use additional code

• code to identify major osseous defect, if applicable (M89.7-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
• CMS-HCC V22: HCC 39 — Bone/Joint/Muscle Infections/Necrosis
• RxHCC V08: HCC 80 — Aseptic Necrosis of Bone
• ESRD V24: HCC 39

MS-DRG index

Defines the logic of DRG(s) 553-554 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 733.49 Aseptic necrosis of bone, other (approximate)

Code annotations containing back-references to M87.39

Back-references to M87

• Code First: M89.7 Major osseous defect ("aseptic necrosis of bone (M87.-)")
• Code First: M89.7 Major osseous defect ("osteonecrosis (M87.-)")

Diagnosis Index entries for M87.39

• Osteonecrosis › secondary NEC › multiple site

Nearby codes

• M87.376 Other secondary osteonecrosis, unspecified foot
• 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 (this code)
• M87.8 Other osteonecrosis
• M87.80 Other osteonecrosis, unspecified bone
• M87.81 Other osteonecrosis, shoulder
• M87.811 Other osteonecrosis, right shoulder
• M87.812 Other osteonecrosis, left shoulder