M86.1 — Other acute osteomyelitis
Is M86.1 billable?
No — M86.1 is a non-billable header code. M86.1 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 M86.1.
Billable codes under this header
- M86.10Other acute osteomyelitis, unspecified site
- M86.18Other acute osteomyelitis, other site
- M86.19Other acute osteomyelitis, multiple sites
- M86.111Other acute osteomyelitis, right shoulder
- M86.112Other acute osteomyelitis, left shoulder
- M86.119Other acute osteomyelitis, unspecified shoulder
- M86.121Other acute osteomyelitis, right humerus
- M86.122Other acute osteomyelitis, left humerus
- M86.129Other acute osteomyelitis, unspecified humerus
- M86.131Other acute osteomyelitis, right radius and ulna
- M86.132Other acute osteomyelitis, left radius and ulna
- M86.139Other acute osteomyelitis, unspecified radius and ulna
- M86.141Other acute osteomyelitis, right hand
- M86.142Other acute osteomyelitis, left hand
- M86.149Other acute osteomyelitis, unspecified hand
- M86.151Other acute osteomyelitis, right femur
- M86.152Other acute osteomyelitis, left femur
- M86.159Other acute osteomyelitis, unspecified femur
- M86.161Other acute osteomyelitis, right tibia and fibula
- M86.162Other acute osteomyelitis, left tibia and fibula
- M86.169Other acute osteomyelitis, unspecified tibia and fibula
- M86.171Other acute osteomyelitis, right ankle and foot
- M86.172Other acute osteomyelitis, left ankle and foot
- M86.179Other acute osteomyelitis, unspecified ankle and foot
M86.1 at a glance
| Code | M86.1 |
|---|---|
| Description | Other acute 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 M86.1 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 M86.1 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 M86.1 to fully describe the condition. M86.1 is sequenced first.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M86.1, but a patient may have both at the same time. When documentation supports it, M86.1 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 M86.1, but a patient may have both at the same time. When documentation supports it, M86.1 and the excluded code may both be reported.
What codes fall under M86.1? (10)
- M86.10Other acute osteomyelitis, unspecified site
- M86.11Other acute osteomyelitis, shouldernot billable
- M86.12Other acute osteomyelitis, humerusnot billable
- M86.13Other acute osteomyelitis, radius and ulnanot billable
- M86.14Other acute osteomyelitis, handnot billable
- M86.15Other acute osteomyelitis, femurnot billable
- M86.16Other acute osteomyelitis, tibia and fibulanot billable
- M86.17Other acute osteomyelitis, ankle and footnot billable
- M86.18Other acute osteomyelitis, other site
- M86.19Other acute osteomyelitis, multiple sites
How long has M86.1 existed?
M86.1 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)
- M86.0Acute hematogenous 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