M86.51
M86.51 — Other chronic hematogenous osteomyelitis, shoulder
Non-billable headerICD-10-CM
M86.51 is a non-billable header ICD-10-CM code for other chronic hematogenous osteomyelitis, shoulder. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
M86.51 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 M86.51
3 child codes. Green means billable.
Related codes at this level
Codes that share M86.5. If M86.51 is not quite right, the correct code is usually one of these.
- M86.50Other chronic hematogenous osteomyelitis, unspecified site
- M86.52Other chronic hematogenous osteomyelitis, humerus
- M86.53Other chronic hematogenous osteomyelitis, radius and ulna
- M86.54Other chronic hematogenous osteomyelitis, hand
- M86.55Other chronic hematogenous osteomyelitis, femur
- M86.56Other chronic hematogenous osteomyelitis, tibia and fibula
- M86.57Other chronic hematogenous osteomyelitis, ankle and foot
- M86.58Other chronic hematogenous osteomyelitis, other site
- M86.59Other chronic hematogenous osteomyelitis, multiple sites
Questions about M86.51
- Is M86.51 a billable ICD-10-CM code?
- No. M86.51 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M86.51 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other osteopathies (M86-M90).