M86.1
M86.1 — Other acute osteomyelitis
Non-billable headerICD-10-CM
M86.1 is a non-billable header ICD-10-CM code for other acute osteomyelitis. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M86.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M86.1
10 child codes. Green means billable.
- M86.10Other acute osteomyelitis, unspecified site
- M86.11Other acute osteomyelitis, shoulder
- M86.12Other acute osteomyelitis, humerus
- M86.13Other acute osteomyelitis, radius and ulna
- M86.14Other acute osteomyelitis, hand
- M86.15Other acute osteomyelitis, femur
- M86.16Other acute osteomyelitis, tibia and fibula
- M86.17Other acute osteomyelitis, ankle and foot
- M86.18Other acute osteomyelitis, other site
- M86.19Other acute osteomyelitis, multiple sites
Related codes at this level
Codes that share M86. If M86.1 is not quite right, the correct code is usually one of these.
Questions about M86.1
- Is M86.1 a billable ICD-10-CM code?
- No. M86.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M86.1 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).