M87.278 — Osteonecrosis due to previous trauma, left toe(s)

BillableCC

Is M87.278 billable?

Yes — M87.278 is billable for FY2027. M87.278 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M87.278 may be submitted for encounters from October 1, 2026 through September 30, 2027.

M87.278 at a glance

Code	M87.278
Description	Osteonecrosis due to previous trauma, left toe(s)
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does M87.278 group to?

M87.278 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

553Bone Diseases and Arthropathies with MCCmedical
554Bone Diseases and Arthropathies without MCCmedical

As a secondary diagnosis, M87.278 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is M87.278 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under M87.27, the nearest indexed parent of M87.278. Use them to find the family, then select the specific code.

Osteonecrosis › secondary NEC › due to › trauma › metatarsus
Osteonecrosis › secondary NEC › due to › trauma › tarsus
Osteonecrosis › secondary NEC › due to › trauma › toe

Excludes1 — never code together — inherited from M86-M90

The conditions below can never be reported together with M87.278 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

postprocedural osteopathies (M96.-)

Excludes1 — never code together — inherited from M87

The conditions below can never be reported together with M87.278 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

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

Use additional code — inherited from M87

Report an additional code alongside M87.278 to fully describe the condition. M87.278 is sequenced first.

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

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M87.278, but a patient may have both at the same time. When documentation supports it, M87.278 and the excluded code may both be reported.

arthropathic psoriasis (L40.5-)
certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
compartment syndrome (traumatic) (T79.A-)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

How long has M87.278 existed?

M87.278 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.