icd-10 code for osteomyelitis

by Dr. Dasia Schulist 10 min read

What are the common ICD 10 codes?

Oct 01, 2021 · M86.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M86.9 became effective on October 1, 2021. This is the American ICD-10-CM version of M86.9 - other international versions of ICD-10 M86.9 may differ. Applicable To Infection of bone NOS

How many codes in ICD 10?

M86.8X - Other osteomyelitis NON-BILLABLE CODE; M86.8X0 - Other osteomyelitis, multiple sites BILLABLE CODE; M86.8X1 - Other osteomyelitis, shoulder BILLABLE CODE; M86.8X2 - Other osteomyelitis, upper arm BILLABLE CODE; M86.8X3 - Other osteomyelitis, forearm BILLABLE CODE; M86.8X4 - Other osteomyelitis, hand BILLABLE CODE

What are the new ICD 10 codes?

Oct 01, 2021 · Osteomyelitis of vertebra of lumbar spine. ICD-10-CM M46.26 is grouped within Diagnostic Related Group (s) (MS-DRG v39.0): 456 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with mcc. 457 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc.

Where can one find ICD 10 diagnosis codes?

Nov 28, 2018 · In ICD-10, the codes to report osteomyelitis are in the M86-series. An ICD-10 Monitor article explains the circumstances for using these codes: Acute and sub-acute osteomyelitis: There are three subcategories for reporting acute and sub-acute osteomyelitis using ICD-10 (including M86.0 to M86.2). Codes from subcategory M86.1 are used to report …

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What is M86 in medical terms?

Clinical Terms for Osteomyelitis (M86) Osteomyelitis -. INFLAMMATION of the bone as a result of infection. It may be caused by a variety of infectious agents, especially pyogenic (PUS - producing) BACTERIA.

What is a type 1 exclude note?

Type 1 Excludes. A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!". An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note.

What does excludes2 mean?

An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate. ostemyelitis of:

What does "use additional code" mean?

Use Additional Code#N#Use Additional Code#N#The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

What is the disease of osteomyelitis?

Acute osteomyelitis is an inflammation of the bone caused by an infectious organism. The condition develops rapidly during the course of several days. It is characterized by localized pain, soft-tissue swelling, and tissue warmth at the site of the infection, plus systemic symptoms such as fever, irritability, fatigue, and nausea.

What is chronic multifocal osteomyelitis?

Chronic multifocal osteomyelitis is a rare condition that also is referred to as chronic recurrent multifocal osteomyelitis, or SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis, osteitis). The cause of the condition is unknown, and tissue cultures typically fail to identify any infectious organism.

What is the code for an infectious agent?

As with all infectious processes in which the infectious agent is not a component of the code that describes the condition, an additional code from categories B95-B97 should be assigned to identify the infectious agent, assuming it can be identified. Any major osseous defects also should be identified with a code from subcategory M89.7.

What is the symptom of a bone fracture?

It is characterized by multiple areas of bone inflammation, and the predominant localized symptom is a deep, aching pain. When the inflammation is present in the lower extremities, gait is affected. Fever also may or may not be present.

Which code includes Brodie's abscess?

Multiple sites. Other osteomyelitis (M86.8) which includes Brodie’s abscess, requires only the general region (shoulder, upper arm, forearm, hand, thigh, lower leg, ankle/foot, other site, and unspecified site). Laterality is not a component of codes in category M86.8. Unspecified osteomyelitis (M86.9) is not specific to a site.

Is Brodie's abscess a chronic disease?

Brodie’s abscess previously was classified as a type of chronic osteomyelitis, but most scholarly literature now refers to it as a sub-acute condition. The defining characteristic is the presence of a bone abscess surrounded by dense fibrous tissue and sclerotic bone. Subcategory M86.9 reports unspecified osteomyelitis.

Where do most infectious organisms go?

The infectious organism then is carried through the bloodstream to the bone. The most common infectious organism is Staphylococcus aureus. In children, the most common sites of infection are the long bones of the extremities, and in adults the most common sites are the lumbar vertebrae.

What causes osteomyelitis?

Osteomyelitis is caused by an infecting organism, typically staphylococcus bacteria. Trauma, surgery, the presence of foreign bodies, or the placement of prostheses can compromise bone integrity and cause bone infection to develop. Osteomyelitis can also occur when infections reach the bone through the bloodstream.

Is osteomyelitis a chronic disease?

Osteomyelitis is an infection in the bone. The infection can spread from nearby tissue or originate in the bone itself if a fracture or other trauma exposes the bone to infection. Osteomyelitis can be classified as acute, sub-acute, and chronic. Compared to ICD-9, there are specific guidelines and codes for reporting osteomyelitis in ICD-10 ...

Is subacute osteomyelitis more severe than acute?

It is easier to treat. In sub-acute osteomyelitis, symptoms are less severe than acute osteomyelitis and develop at a less rapid pace.

Can osteomyelitis be seen in older adults?

However, the condition can manifest without symptoms in infants, older adults and people whose immune systems are compromised.

Can osteomyelitis be caused by diabetes?

Osteomyelitis can also occur when infections reach the bone through the bloodstream. People with chronic health conditions such as diabetes mellitus and peripheral vascular disease, and smokers have a higher risk of developing chronic osteomyelitis. In children, osteomyelitis appears in the arm or leg bone.

Is periostitis a separate disease?

In ICD-10, there is no separate designation for periostitis ( inflammation of the membrane covering a bone) without mention of osteomyelitis. There are specific entries for periostitis of the dentoalveolar structures and jaw, and for periostitis due to certain infectious organisms, such as gonorrhea, syphilis, tuberculosis, and yaws.

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Acute and Sub-Acute Osteomyelitis

  • There are three subcategories for reporting this condition using ICD-10-CM, including M86.0 Acute hematogenous osteomyelitis, M86.1 Other acute osteomyelitis, and M86.2 Sub-acute osteomyelitis. Acute hemotogenous osteomyelitis results from an infection at a remote site. The infectious organism then is carried through the bloodstream to the bone. The most common inf…
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Chronic Osteomyelitis

  • There are four subcategories in ICD-10-CM for chronic osteomyelitis, including M86.3 Chronic multifocal osteomyelitis, M86.4 Chronic osteomyelitis with draining sinus, M86.5 Other chronic hematogenous osteomyelitis, and M86.6 Other chronic osteomyelitis. Chronic multifocal osteomyelitis is a rare condition that also is referred to as chronic recurrent multifocal osteomy…
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Other Osteomyelitis

  • There are two additional subcategories for the reporting of this condition in ICD-10-CM. Subcategory M86.8 reports other osteomyelitis, and this category includes Brodie’s abscess. Brodie’s abscess previously was classified as a type of chronic osteomyelitis, but most scholarly literature now refers to it as a sub-acute condition. The defining characteristic is the presence o…
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Site Specificity in ICD-10-CM

  • While ICD-9-CM identifies only the general region of the osteomyelitis, ICD-10-CM includes specific bones for some sites and laterality. Specific sites for subcategories M86.0-M86.6 include: 1. Shoulder 2. Humerus 3. Radius/ulna 4. Hand 5. Femur 6. Tibia/fibula 7. Ankle/foot 8. Other specified sites 9. Multiple sites Other osteomyelitis (M86.8) which includes Brodie’s abscess, re…
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Additional Codes

  • As with all infectious processes in which the infectious agent is not a component of the code that describes the condition, an additional code from categories B95-B97 should be assigned to identify the infectious agent, assuming it can be identified. Any major osseous defects also should be identified with a code from subcategory M89.7.
See more on icd10monitor.com

Additional Coding Changes For Bone Infections

  • One additional coding change is that there are is no longer a separate designation for periostitis without mention of osteomyelitis in ICD-10-CM. In ICD-9-CM, this condition was reported with codes from subcategory 730.3. In ICD-10-CM, the Alphabetic Index provides only a limited number of specific entries for periostitis. There are specific entries for periostitis of the dentoalveolar str…
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