M86.0 — Acute hematogenous osteomyelitis
Is M86.0 billable?
No — M86.0 is a non-billable header code. M86.0 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 24 billable codes beneath M86.0.
Billable codes under this header
- M86.00Acute hematogenous osteomyelitis, unspecified site
- M86.08Acute hematogenous osteomyelitis, other sites
- M86.09Acute hematogenous osteomyelitis, multiple sites
- M86.011Acute hematogenous osteomyelitis, right shoulder
- M86.012Acute hematogenous osteomyelitis, left shoulder
- M86.019Acute hematogenous osteomyelitis, unspecified shoulder
- M86.021Acute hematogenous osteomyelitis, right humerus
- M86.022Acute hematogenous osteomyelitis, left humerus
- M86.029Acute hematogenous osteomyelitis, unspecified humerus
- M86.031Acute hematogenous osteomyelitis, right radius and ulna
- M86.032Acute hematogenous osteomyelitis, left radius and ulna
- M86.039Acute hematogenous osteomyelitis, unspecified radius and ulna
- M86.041Acute hematogenous osteomyelitis, right hand
- M86.042Acute hematogenous osteomyelitis, left hand
- M86.049Acute hematogenous osteomyelitis, unspecified hand
- M86.051Acute hematogenous osteomyelitis, right femur
- M86.052Acute hematogenous osteomyelitis, left femur
- M86.059Acute hematogenous osteomyelitis, unspecified femur
- M86.061Acute hematogenous osteomyelitis, right tibia and fibula
- M86.062Acute hematogenous osteomyelitis, left tibia and fibula
- M86.069Acute hematogenous osteomyelitis, unspecified tibia and fibula
- M86.071Acute hematogenous osteomyelitis, right ankle and foot
- M86.072Acute hematogenous osteomyelitis, left ankle and foot
- M86.079Acute hematogenous osteomyelitis, unspecified ankle and foot
M86.0 at a glance
| Code | M86.0 |
|---|---|
| Description | Acute hematogenous osteomyelitis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from M86-M90
The conditions below can never be reported together with M86.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- postprocedural osteopathies (M96.-)
Excludes1 — never code together — inherited from M86
The conditions below can never be reported together with M86.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from M86
Report an additional code alongside M86.0 to fully describe the condition. M86.0 is sequenced first.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M86.0, but a patient may have both at the same time. When documentation supports it, M86.0 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from M86
The conditions below are not part of M86.0, but a patient may have both at the same time. When documentation supports it, M86.0 and the excluded code may both be reported.
What codes fall under M86.0? (10)
- M86.00Acute hematogenous osteomyelitis, unspecified site
- M86.01Acute hematogenous osteomyelitis, shouldernot billable
- M86.02Acute hematogenous osteomyelitis, humerusnot billable
- M86.03Acute hematogenous osteomyelitis, radius and ulnanot billable
- M86.04Acute hematogenous osteomyelitis, handnot billable
- M86.05Acute hematogenous osteomyelitis, femurnot billable
- M86.06Acute hematogenous osteomyelitis, tibia and fibulanot billable
- M86.07Acute hematogenous osteomyelitis, ankle and footnot billable
- M86.08Acute hematogenous osteomyelitis, other sites
- M86.09Acute hematogenous osteomyelitis, multiple sites
How long has M86.0 existed?
M86.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the M86 family? (8)
- M86.1Other acute osteomyelitisnot billable
- M86.2Subacute osteomyelitisnot billable
- M86.3Chronic multifocal osteomyelitisnot billable
- M86.4Chronic osteomyelitis with draining sinusnot billable
- M86.5Other chronic hematogenous osteomyelitisnot billable
- M86.6Other chronic osteomyelitisnot billable
- M86.8Other osteomyelitisnot billable
- M86.9Osteomyelitis, unspecified