M86.5 — Other chronic hematogenous osteomyelitis
Is M86.5 billable?
No — M86.5 is a non-billable header code. M86.5 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 M86.5.
Billable codes under this header
- M86.50Other chronic hematogenous osteomyelitis, unspecified site
- M86.58Other chronic hematogenous osteomyelitis, other site
- M86.59Other chronic hematogenous osteomyelitis, multiple sites
- M86.511Other chronic hematogenous osteomyelitis, right shoulder
- M86.512Other chronic hematogenous osteomyelitis, left shoulder
- M86.519Other chronic hematogenous osteomyelitis, unspecified shoulder
- M86.521Other chronic hematogenous osteomyelitis, right humerus
- M86.522Other chronic hematogenous osteomyelitis, left humerus
- M86.529Other chronic hematogenous osteomyelitis, unspecified humerus
- M86.531Other chronic hematogenous osteomyelitis, right radius and ulna
- M86.532Other chronic hematogenous osteomyelitis, left radius and ulna
- M86.539Other chronic hematogenous osteomyelitis, unspecified radius and ulna
- M86.541Other chronic hematogenous osteomyelitis, right hand
- M86.542Other chronic hematogenous osteomyelitis, left hand
- M86.549Other chronic hematogenous osteomyelitis, unspecified hand
- M86.551Other chronic hematogenous osteomyelitis, right femur
- M86.552Other chronic hematogenous osteomyelitis, left femur
- M86.559Other chronic hematogenous osteomyelitis, unspecified femur
- M86.561Other chronic hematogenous osteomyelitis, right tibia and fibula
- M86.562Other chronic hematogenous osteomyelitis, left tibia and fibula
- M86.569Other chronic hematogenous osteomyelitis, unspecified tibia and fibula
- M86.571Other chronic hematogenous osteomyelitis, right ankle and foot
- M86.572Other chronic hematogenous osteomyelitis, left ankle and foot
- M86.579Other chronic hematogenous osteomyelitis, unspecified ankle and foot
M86.5 at a glance
| Code | M86.5 |
|---|---|
| Description | Other chronic 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 M86.5 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 M86.5 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 M86.5 to fully describe the condition. M86.5 is sequenced first.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M86.5, but a patient may have both at the same time. When documentation supports it, M86.5 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 M86.5, but a patient may have both at the same time. When documentation supports it, M86.5 and the excluded code may both be reported.
What codes fall under M86.5? (10)
- M86.50Other chronic hematogenous osteomyelitis, unspecified site
- M86.51Other chronic hematogenous osteomyelitis, shouldernot billable
- M86.52Other chronic hematogenous osteomyelitis, humerusnot billable
- M86.53Other chronic hematogenous osteomyelitis, radius and ulnanot billable
- M86.54Other chronic hematogenous osteomyelitis, handnot billable
- M86.55Other chronic hematogenous osteomyelitis, femurnot billable
- M86.56Other chronic hematogenous osteomyelitis, tibia and fibulanot billable
- M86.57Other chronic hematogenous osteomyelitis, ankle and footnot billable
- M86.58Other chronic hematogenous osteomyelitis, other site
- M86.59Other chronic hematogenous osteomyelitis, multiple sites
How long has M86.5 existed?
M86.5 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
- M86.3Chronic multifocal osteomyelitisnot billable
- M86.4Chronic osteomyelitis with draining sinusnot billable
- M86.6Other chronic osteomyelitisnot billable
- M86.8Other osteomyelitisnot billable
- M86.9Osteomyelitis, unspecified