M86.68 — Other chronic osteomyelitis, other site
Is M86.68 billable?
Yes — M86.68 is billable for FY2027. M86.68 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M86.68 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M86.68 at a glance
| Code | M86.68 |
|---|---|
| Description | Other chronic osteomyelitis, other site |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M86.68 group to?
M86.68 sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 456Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCCsurgical
- 457Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CCsurgical
- 458Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCCsurgical
As a secondary diagnosis, M86.68 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is M86.68 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M86.68. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Osteomyelitis › chronic › neck (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)
- Osteomyelitis › chronic › rib (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)
- Osteomyelitis › chronic › skull (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis)
Excludes1 — never code together — inherited from M86-M90
The conditions below can never be reported together with M86.68 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 M86.68 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 M86.68 to fully describe the condition. M86.68 is sequenced first.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M86.68, but a patient may have both at the same time. When documentation supports it, M86.68 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 M86.68, but a patient may have both at the same time. When documentation supports it, M86.68 and the excluded code may both be reported.
How long has M86.68 existed?
M86.68 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.
Which conditions are coded to M86.68?
What other codes are in the M86.6 family? (9)
- M86.60Other chronic osteomyelitis, unspecified site
- M86.61Other chronic osteomyelitis, shouldernot billable
- M86.62Other chronic osteomyelitis, humerusnot billable
- M86.63Other chronic osteomyelitis, radius and ulnanot billable
- M86.64Other chronic osteomyelitis, handnot billable
- M86.65Other chronic osteomyelitis, thighnot billable
- M86.66Other chronic osteomyelitis, tibia and fibulanot billable
- M86.67Other chronic osteomyelitis, ankle and footnot billable
- M86.69Other chronic osteomyelitis, multiple sites