M86.12
M86.12 — Other acute osteomyelitis, humerus
Non-billable headerICD-10-CM
M86.12 is a non-billable header ICD-10-CM code for other acute osteomyelitis, humerus. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M86.12 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 M86.12
3 child codes. Green means billable.
Related codes at this level
Codes that share M86.1. If M86.12 is not quite right, the correct code is usually one of these.
- M86.10Other acute osteomyelitis, unspecified site
- M86.11Other acute osteomyelitis, shoulder
- 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
Questions about M86.12
- Is M86.12 a billable ICD-10-CM code?
- No. M86.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M86.12 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).