M86.3 — Chronic multifocal osteomyelitis
Is M86.3 billable?
No — M86.3 is a non-billable header code. M86.3 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 M86.3.
Billable codes under this header
- M86.30Chronic multifocal osteomyelitis, unspecified site
- M86.38Chronic multifocal osteomyelitis, other site
- M86.39Chronic multifocal osteomyelitis, multiple sites
- M86.311Chronic multifocal osteomyelitis, right shoulder
- M86.312Chronic multifocal osteomyelitis, left shoulder
- M86.319Chronic multifocal osteomyelitis, unspecified shoulder
- M86.321Chronic multifocal osteomyelitis, right humerus
- M86.322Chronic multifocal osteomyelitis, left humerus
- M86.329Chronic multifocal osteomyelitis, unspecified humerus
- M86.331Chronic multifocal osteomyelitis, right radius and ulna
- M86.332Chronic multifocal osteomyelitis, left radius and ulna
- M86.339Chronic multifocal osteomyelitis, unspecified radius and ulna
- M86.341Chronic multifocal osteomyelitis, right hand
- M86.342Chronic multifocal osteomyelitis, left hand
- M86.349Chronic multifocal osteomyelitis, unspecified hand
- M86.351Chronic multifocal osteomyelitis, right femur
- M86.352Chronic multifocal osteomyelitis, left femur
- M86.359Chronic multifocal osteomyelitis, unspecified femur
- M86.361Chronic multifocal osteomyelitis, right tibia and fibula
- M86.362Chronic multifocal osteomyelitis, left tibia and fibula
- M86.369Chronic multifocal osteomyelitis, unspecified tibia and fibula
- M86.371Chronic multifocal osteomyelitis, right ankle and foot
- M86.372Chronic multifocal osteomyelitis, left ankle and foot
- M86.379Chronic multifocal osteomyelitis, unspecified ankle and foot
M86.3 at a glance
| Code | M86.3 |
|---|---|
| Description | Chronic multifocal 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 M86.3 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 M86.3 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 M86.3 to fully describe the condition. M86.3 is sequenced first.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M86.3, but a patient may have both at the same time. When documentation supports it, M86.3 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 M86.3, but a patient may have both at the same time. When documentation supports it, M86.3 and the excluded code may both be reported.
What codes fall under M86.3? (10)
- M86.30Chronic multifocal osteomyelitis, unspecified site
- M86.31Chronic multifocal osteomyelitis, shouldernot billable
- M86.32Chronic multifocal osteomyelitis, humerusnot billable
- M86.33Chronic multifocal osteomyelitis, radius and ulnanot billable
- M86.34Chronic multifocal osteomyelitis, handnot billable
- M86.35Chronic multifocal osteomyelitis, femurnot billable
- M86.36Chronic multifocal osteomyelitis, tibia and fibulanot billable
- M86.37Chronic multifocal osteomyelitis, ankle and footnot billable
- M86.38Chronic multifocal osteomyelitis, other site
- M86.39Chronic multifocal osteomyelitis, multiple sites
How long has M86.3 existed?
M86.3 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
- M86.1Other acute osteomyelitisnot billable
- M86.2Subacute 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