ICD-10 Code for Osteonecrosis
The ICD-10-CM code for osteonecrosis is M87.9 — Osteonecrosis, unspecified. This is the code the Alphabetic Index gives for osteonecrosis with no further qualifier, valid for FY2027 (October 1, 2026 – September 30, 2027).
M87.9 is billable but unspecified. If the documentation names a type, site or cause, one of the more specific codes below is likely expected.
Which osteonecrosis code should you use?
The Alphabetic Index lists 72 codes under Osteonecrosis. Which one applies depends on the qualifier documented in the record — the type, site, cause, or associated condition. Find the qualifier below, then verify the code in the Tabular List before using it.
By type
Osteonecrosis idiopathic aseptic
| ankle | M87.07Not billable | Idiopathic aseptic necrosis of ankle, foot and toes |
| carpus | M87.03Not billable | Idiopathic aseptic necrosis of radius, ulna and carpus |
| clavicle | M87.01Not billable | Idiopathic aseptic necrosis of shoulder |
| femur | M87.05Not billable | Idiopathic aseptic necrosis of pelvis and femur |
| fibula | M87.06Not billable | Idiopathic aseptic necrosis of tibia and fibula |
| finger | M87.04Not billable | Idiopathic aseptic necrosis of hand and fingers |
| humerus | M87.02Not billable | Idiopathic aseptic necrosis of humerus |
| ilium | M87.050 | Idiopathic aseptic necrosis of pelvis |
| ischium | M87.050 | Idiopathic aseptic necrosis of pelvis |
| metacarpus | M87.04Not billable | Idiopathic aseptic necrosis of hand and fingers |
| metatarsus | M87.07Not billable | Idiopathic aseptic necrosis of ankle, foot and toes |
| multiple sites | M87.09 | Idiopathic aseptic necrosis of bone, multiple sites |
| neck | M87.08 | Idiopathic aseptic necrosis of bone, other site |
| pelvis | M87.050 | Idiopathic aseptic necrosis of pelvis |
| pubic ramus [pubis] | M87.050 | Idiopathic aseptic necrosis of pelvis |
| radius | M87.03Not billable | Idiopathic aseptic necrosis of radius, ulna and carpus |
| rib | M87.08 | Idiopathic aseptic necrosis of bone, other site |
| scapula | M87.01Not billable | Idiopathic aseptic necrosis of shoulder |
| skull | M87.08 | Idiopathic aseptic necrosis of bone, other site |
| tarsus | M87.07Not billable | Idiopathic aseptic necrosis of ankle, foot and toes |
| tibia | M87.06Not billable | Idiopathic aseptic necrosis of tibia and fibula |
| toe | M87.07Not billable | Idiopathic aseptic necrosis of ankle, foot and toes |
| ulna | M87.03Not billable | Idiopathic aseptic necrosis of radius, ulna and carpus |
| vertebra | M87.08 | Idiopathic aseptic necrosis of bone, other site |
Osteonecrosis secondary NEC
| carpus | M87.33Not billable | Other secondary osteonecrosis of radius, ulna and carpus |
| clavicle | M87.31Not billable | Other secondary osteonecrosis, shoulder |
| femur | M87.35Not billable | Other secondary osteonecrosis, pelvis and femur |
| fibula | M87.36Not billable | Other secondary osteonecrosis, tibia and fibula |
| finger | M87.34Not billable | Other secondary osteonecrosis, hand and fingers |
| humerus | M87.32Not billable | Other secondary osteonecrosis, humerus |
| ilium | M87.350 | Other secondary osteonecrosis, pelvis |
| ischium | M87.350 | Other secondary osteonecrosis, pelvis |
| metacarpus | M87.34Not billable | Other secondary osteonecrosis, hand and fingers |
| metatarsus | M87.37Not billable | Other secondary osteonecrosis, ankle and foot |
| multiple site | M87.39 | Other secondary osteonecrosis, multiple sites |
| neck | M87.38 | Other secondary osteonecrosis, other site |
| pubic ramus [pubis] | M87.350 | Other secondary osteonecrosis, pelvis |
| radius | M87.33Not billable | Other secondary osteonecrosis of radius, ulna and carpus |
| rib | M87.38 | Other secondary osteonecrosis, other site |
| scapula | M87.319 | Other secondary osteonecrosis, unspecified shoulder |
| skull | M87.38 | Other secondary osteonecrosis, other site |
| tarsus | M87.379 | Other secondary osteonecrosis, unspecified toe(s) |
| tibia | M87.366 | Other secondary osteonecrosis, unspecified fibula |
| toe | M87.379 | Other secondary osteonecrosis, unspecified toe(s) |
| ulna | M87.33Not billable | Other secondary osteonecrosis of radius, ulna and carpus |
| vertebra | M87.38 | Other secondary osteonecrosis, other site |
| due to › drugs | M87.10 | Osteonecrosis due to drugs, unspecified bone |
| due to › hemoglobinopathy NEC | D58.2 | Other hemoglobinopathies |
| due to › trauma | M87.20 | Osteonecrosis due to previous trauma, unspecified bone |
| in › caisson disease | T70.3Not billable | Caisson disease [decompression sickness] |
| due to › drugs › carpus | M87.13Not billable | Osteonecrosis due to drugs of radius, ulna and carpus |
| due to › drugs › clavicle | M87.11Not billable | Osteonecrosis due to drugs, shoulder |
| due to › drugs › femur | M87.15Not billable | Osteonecrosis due to drugs, pelvis and femur |
| due to › drugs › fibula | M87.16Not billable | Osteonecrosis due to drugs, tibia and fibula |
| due to › drugs › finger | M87.14Not billable | Osteonecrosis due to drugs, hand and fingers |
| due to › drugs › humerus | M87.12Not billable | Osteonecrosis due to drugs, humerus |
| due to › drugs › ilium | M87.150 | Osteonecrosis due to drugs, pelvis |
| due to › drugs › ischium | M87.150 | Osteonecrosis due to drugs, pelvis |
| due to › drugs › jaw | M87.180 | Osteonecrosis due to drugs, jaw |
| due to › drugs › metacarpus | M87.14Not billable | Osteonecrosis due to drugs, hand and fingers |
| due to › drugs › metatarsus | M87.17Not billable | Osteonecrosis due to drugs, ankle, foot and toes |
| due to › drugs › multiple sites | M87.19 | Osteonecrosis due to drugs, multiple sites |
| due to › drugs › neck | M87.188 | Osteonecrosis due to drugs, other site |
| due to › drugs › pubic ramus [pubis] | M87.150 | Osteonecrosis due to drugs, pelvis |
| due to › drugs › radius | M87.13Not billable | Osteonecrosis due to drugs of radius, ulna and carpus |
| due to › drugs › rib | M87.188 | Osteonecrosis due to drugs, other site |
| due to › drugs › scapula | M87.11Not billable | Osteonecrosis due to drugs, shoulder |
| due to › drugs › skull | M87.188 | Osteonecrosis due to drugs, other site |
| due to › drugs › tarsus | M87.17Not billable | Osteonecrosis due to drugs, ankle, foot and toes |
| due to › drugs › tibia | M87.16Not billable | Osteonecrosis due to drugs, tibia and fibula |
| due to › drugs › toe | M87.17Not billable | Osteonecrosis due to drugs, ankle, foot and toes |
| due to › drugs › ulna | M87.13Not billable | Osteonecrosis due to drugs of radius, ulna and carpus |
| due to › drugs › vertebra | M87.188 | Osteonecrosis due to drugs, other site |
| due to › hemoglobinopathy NEC › carpus | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › clavicle | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › femur | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › fibula | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › finger | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › humerus | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › ilium | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › ischium | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › metacarpus | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › metatarsus | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › multiple sites | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › neck | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › radius | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › rib | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › scapula | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › skull | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › specified NEC | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › tarsus | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › tibia | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › toe | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › ulna | D58.2 | Other hemoglobinopathies |
| due to › hemoglobinopathy NEC › vertebra | D58.2 | Other hemoglobinopathies |
Osteonecrosis specified type NEC
| carpus | M87.83Not billable | Other osteonecrosis of radius, ulna and carpus |
| clavicle | M87.81Not billable | Other osteonecrosis, shoulder |
| femur | M87.85Not billable | Other osteonecrosis, pelvis and femur |
| fibula | M87.86Not billable | Other osteonecrosis, tibia and fibula |
| finger | M87.84Not billable | Other osteonecrosis, hand and fingers |
| humerus | M87.82Not billable | Other osteonecrosis, humerus |
| ilium | M87.850 | Other osteonecrosis, pelvis |
| ischium | M87.850 | Other osteonecrosis, pelvis |
| metacarpus | M87.84Not billable | Other osteonecrosis, hand and fingers |
| metatarsus | M87.87Not billable | Other osteonecrosis, ankle, foot and toes |
| multiple sites | M87.89 | Other osteonecrosis, multiple sites |
| neck | M87.88 | Other osteonecrosis, other site |
| pubic ramus [pubis] | M87.850 | Other osteonecrosis, pelvis |
| radius | M87.83Not billable | Other osteonecrosis of radius, ulna and carpus |
| rib | M87.88 | Other osteonecrosis, other site |
| scapula | M87.81Not billable | Other osteonecrosis, shoulder |
| skull | M87.88 | Other osteonecrosis, other site |
| tarsus | M87.87Not billable | Other osteonecrosis, ankle, foot and toes |
| tibia | M87.86Not billable | Other osteonecrosis, tibia and fibula |
| toe | M87.87Not billable | Other osteonecrosis, ankle, foot and toes |
| ulna | M87.83Not billable | Other osteonecrosis of radius, ulna and carpus |
| vertebra | M87.88 | Other osteonecrosis, other site |
Index terms and codes are reproduced from the official ICD-10-CM FY2027 release. The Alphabetic Index is a finding aid — a code must always be verified in the Tabular List before it is reported. Data sources