M86
M86: Osteomyelitis
Non-billable headerICD-10-CM
M86 is a non-billable header ICD-10-CM code for osteomyelitis. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Use additional code
Add a secondary code to capture the detail described below.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead M86
9 child codes. Green means billable.
- M86.0Acute hematogenous osteomyelitis
- M86.1Other acute osteomyelitis
- M86.2Subacute osteomyelitis
- M86.3Chronic multifocal osteomyelitis
- M86.4Chronic osteomyelitis with draining sinus
- M86.5Other chronic hematogenous osteomyelitis
- M86.6Other chronic osteomyelitis
- M86.8Other osteomyelitis
- M86.9Osteomyelitis, unspecified