M86.8X81
M86.8X81: Other osteomyelitis, face and sinuses
Billable / specific codeICD-10-CM
M86.8X81 is a billable, specific ICD-10-CM code for other osteomyelitis, face and sinuses. It is valid for submission on a claim.
Check M86.8X81 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Pott's puffy tumor
Excludes1 inherited from the categories above M86.8X81
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M86.8X81
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M86.8X81 is named in 8 Medicare coverage policies: 1 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Code history
- addedFY2024-FY2027
Other osteomyelitis, face and sinuses