ICD-10 · PDGM grouping
M86 Osteomyelitis
All 195 codes in the M86 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
195
Can lead a claim
130
Cannot lead a claim
65
What CMS assigns to M86
130 of the 195 codes group to Musculoskeletal Rehabilitation; 65 are assigned no clinical group. None of the 195 is assigned a comorbidity subgroup. 130 of the 195 can lead a claim.
Every code in M86
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| M86.0 Acute hematogenous osteomyelitis | ||||
| M86.00 | Acute hematogenous osteomyelitis, unspecified site | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.01 Acute hematogenous osteomyelitis, shoulder | ||||
| M86.011 | Acute hematogenous osteomyelitis, right shoulder | Can lead a claim | E | None |
| M86.012 | Acute hematogenous osteomyelitis, left shoulder | Can lead a claim | E | None |
| M86.019 | Acute hematogenous osteomyelitis, unspecified shoulder | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.02 Acute hematogenous osteomyelitis, humerus | ||||
| M86.021 | Acute hematogenous osteomyelitis, right humerus | Can lead a claim | E | None |
| M86.022 | Acute hematogenous osteomyelitis, left humerus | Can lead a claim | E | None |
| M86.029 | Acute hematogenous osteomyelitis, unspecified humerus | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.03 Acute hematogenous osteomyelitis, radius and ulna | ||||
| M86.031 | Acute hematogenous osteomyelitis, right radius and ulna | Can lead a claim | E | None |
| M86.032 | Acute hematogenous osteomyelitis, left radius and ulna | Can lead a claim | E | None |
| M86.039 | Acute hematogenous osteomyelitis, unspecified radius and ulnaCMS: Acute hematogenous osteomyelitis, unsp radius and ulna | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.04 Acute hematogenous osteomyelitis, hand | ||||
| M86.041 | Acute hematogenous osteomyelitis, right hand | Can lead a claim | E | None |
| M86.042 | Acute hematogenous osteomyelitis, left hand | Can lead a claim | E | None |
| M86.049 | Acute hematogenous osteomyelitis, unspecified hand | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.05 Acute hematogenous osteomyelitis, femur | ||||
| M86.051 | Acute hematogenous osteomyelitis, right femur | Can lead a claim | E | None |
| M86.052 | Acute hematogenous osteomyelitis, left femur | Can lead a claim | E | None |
| M86.059 | Acute hematogenous osteomyelitis, unspecified femur | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.06 Acute hematogenous osteomyelitis, tibia and fibula | ||||
| M86.061 | Acute hematogenous osteomyelitis, right tibia and fibula | Can lead a claim | E | None |
| M86.062 | Acute hematogenous osteomyelitis, left tibia and fibula | Can lead a claim | E | None |
| M86.069 | Acute hematogenous osteomyelitis, unspecified tibia and fibulaCMS: Acute hematogenous osteomyelitis, unsp tibia and fibula | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.07 Acute hematogenous osteomyelitis, ankle and foot | ||||
| M86.071 | Acute hematogenous osteomyelitis, right ankle and foot | Can lead a claim | E | None |
| M86.072 | Acute hematogenous osteomyelitis, left ankle and foot | Can lead a claim | E | None |
| M86.079 | Acute hematogenous osteomyelitis, unspecified ankle and foot | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.08 | Acute hematogenous osteomyelitis, other sites | Can lead a claim | E | None |
| M86.09 | Acute hematogenous osteomyelitis, multiple sites | Can lead a claim | E | None |
| M86.1 Other acute osteomyelitis | ||||
| M86.10 | Other acute osteomyelitis, unspecified site | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.11 Other acute osteomyelitis, shoulder | ||||
| M86.111 | Other acute osteomyelitis, right shoulder | Can lead a claim | E | None |
| M86.112 | Other acute osteomyelitis, left shoulder | Can lead a claim | E | None |
| M86.119 | Other acute osteomyelitis, unspecified shoulder | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.12 Other acute osteomyelitis, humerus | ||||
| M86.121 | Other acute osteomyelitis, right humerus | Can lead a claim | E | None |
| M86.122 | Other acute osteomyelitis, left humerus | Can lead a claim | E | None |
| M86.129 | Other acute osteomyelitis, unspecified humerus | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.13 Other acute osteomyelitis, radius and ulna | ||||
| M86.131 | Other acute osteomyelitis, right radius and ulna | Can lead a claim | E | None |
| M86.132 | Other acute osteomyelitis, left radius and ulna | Can lead a claim | E | None |
| M86.139 | Other acute osteomyelitis, unspecified radius and ulna | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.14 Other acute osteomyelitis, hand | ||||
| M86.141 | Other acute osteomyelitis, right hand | Can lead a claim | E | None |
| M86.142 | Other acute osteomyelitis, left hand | Can lead a claim | E | None |
| M86.149 | Other acute osteomyelitis, unspecified hand | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.15 Other acute osteomyelitis, femur | ||||
| M86.151 | Other acute osteomyelitis, right femur | Can lead a claim | E | None |
| M86.152 | Other acute osteomyelitis, left femur | Can lead a claim | E | None |
| M86.159 | Other acute osteomyelitis, unspecified femur | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.16 Other acute osteomyelitis, tibia and fibula | ||||
| M86.161 | Other acute osteomyelitis, right tibia and fibula | Can lead a claim | E | None |
| M86.162 | Other acute osteomyelitis, left tibia and fibula | Can lead a claim | E | None |
| M86.169 | Other acute osteomyelitis, unspecified tibia and fibula | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.17 Other acute osteomyelitis, ankle and foot | ||||
| M86.171 | Other acute osteomyelitis, right ankle and foot | Can lead a claim | E | None |
| M86.172 | Other acute osteomyelitis, left ankle and foot | Can lead a claim | E | None |
| M86.179 | Other acute osteomyelitis, unspecified ankle and foot | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.18 | Other acute osteomyelitis, other site | Can lead a claim | E | None |
| M86.19 | Other acute osteomyelitis, multiple sites | Can lead a claim | E | None |
| M86.2 Subacute osteomyelitis | ||||
| M86.20 | Subacute osteomyelitis, unspecified site | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.21 Subacute osteomyelitis, shoulder | ||||
| M86.211 | Subacute osteomyelitis, right shoulder | Can lead a claim | E | None |
| M86.212 | Subacute osteomyelitis, left shoulder | Can lead a claim | E | None |
| M86.219 | Subacute osteomyelitis, unspecified shoulder | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.22 Subacute osteomyelitis, humerus | ||||
| M86.221 | Subacute osteomyelitis, right humerus | Can lead a claim | E | None |
| M86.222 | Subacute osteomyelitis, left humerus | Can lead a claim | E | None |
| M86.229 | Subacute osteomyelitis, unspecified humerus | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.23 Subacute osteomyelitis, radius and ulna | ||||
| M86.231 | Subacute osteomyelitis, right radius and ulna | Can lead a claim | E | None |
| M86.232 | Subacute osteomyelitis, left radius and ulna | Can lead a claim | E | None |
| M86.239 | Subacute osteomyelitis, unspecified radius and ulna | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.24 Subacute osteomyelitis, hand | ||||
| M86.241 | Subacute osteomyelitis, right hand | Can lead a claim | E | None |
| M86.242 | Subacute osteomyelitis, left hand | Can lead a claim | E | None |
| M86.249 | Subacute osteomyelitis, unspecified hand | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.25 Subacute osteomyelitis, femur | ||||
| M86.251 | Subacute osteomyelitis, right femur | Can lead a claim | E | None |
| M86.252 | Subacute osteomyelitis, left femur | Can lead a claim | E | None |
| M86.259 | Subacute osteomyelitis, unspecified femur | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.26 Subacute osteomyelitis, tibia and fibula | ||||
| M86.261 | Subacute osteomyelitis, right tibia and fibula | Can lead a claim | E | None |
| M86.262 | Subacute osteomyelitis, left tibia and fibula | Can lead a claim | E | None |
| M86.269 | Subacute osteomyelitis, unspecified tibia and fibula | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.27 Subacute osteomyelitis, ankle and foot | ||||
| M86.271 | Subacute osteomyelitis, right ankle and foot | Can lead a claim | E | None |
| M86.272 | Subacute osteomyelitis, left ankle and foot | Can lead a claim | E | None |
| M86.279 | Subacute osteomyelitis, unspecified ankle and foot | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.28 | Subacute osteomyelitis, other site | Can lead a claim | E | None |
| M86.29 | Subacute osteomyelitis, multiple sites | Can lead a claim | E | None |
| M86.3 Chronic multifocal osteomyelitis | ||||
| M86.30 | Chronic multifocal osteomyelitis, unspecified site | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.31 Chronic multifocal osteomyelitis, shoulder | ||||
| M86.311 | Chronic multifocal osteomyelitis, right shoulder | Can lead a claim | E | None |
| M86.312 | Chronic multifocal osteomyelitis, left shoulder | Can lead a claim | E | None |
| M86.319 | Chronic multifocal osteomyelitis, unspecified shoulder | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.32 Chronic multifocal osteomyelitis, humerus | ||||
| M86.321 | Chronic multifocal osteomyelitis, right humerus | Can lead a claim | E | None |
| M86.322 | Chronic multifocal osteomyelitis, left humerus | Can lead a claim | E | None |
| M86.329 | Chronic multifocal osteomyelitis, unspecified humerus | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.33 Chronic multifocal osteomyelitis, radius and ulna | ||||
| M86.331 | Chronic multifocal osteomyelitis, right radius and ulna | Can lead a claim | E | None |
| M86.332 | Chronic multifocal osteomyelitis, left radius and ulna | Can lead a claim | E | None |
| M86.339 | Chronic multifocal osteomyelitis, unspecified radius and ulnaCMS: Chronic multifocal osteomyelitis, unsp radius and ulna | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.34 Chronic multifocal osteomyelitis, hand | ||||
| M86.341 | Chronic multifocal osteomyelitis, right hand | Can lead a claim | E | None |
| M86.342 | Chronic multifocal osteomyelitis, left hand | Can lead a claim | E | None |
| M86.349 | Chronic multifocal osteomyelitis, unspecified hand | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.35 Chronic multifocal osteomyelitis, femur | ||||
| M86.351 | Chronic multifocal osteomyelitis, right femur | Can lead a claim | E | None |
| M86.352 | Chronic multifocal osteomyelitis, left femur | Can lead a claim | E | None |
| M86.359 | Chronic multifocal osteomyelitis, unspecified femur | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.36 Chronic multifocal osteomyelitis, tibia and fibula | ||||
| M86.361 | Chronic multifocal osteomyelitis, right tibia and fibula | Can lead a claim | E | None |
| M86.362 | Chronic multifocal osteomyelitis, left tibia and fibula | Can lead a claim | E | None |
| M86.369 | Chronic multifocal osteomyelitis, unspecified tibia and fibulaCMS: Chronic multifocal osteomyelitis, unsp tibia and fibula | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.37 Chronic multifocal osteomyelitis, ankle and foot | ||||
| M86.371 | Chronic multifocal osteomyelitis, right ankle and foot | Can lead a claim | E | None |
| M86.372 | Chronic multifocal osteomyelitis, left ankle and foot | Can lead a claim | E | None |
| M86.379 | Chronic multifocal osteomyelitis, unspecified ankle and foot | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.38 | Chronic multifocal osteomyelitis, other site | Can lead a claim | E | None |
| M86.39 | Chronic multifocal osteomyelitis, multiple sites | Can lead a claim | E | None |
| M86.4 Chronic osteomyelitis with draining sinus | ||||
| M86.40 | Chronic osteomyelitis with draining sinus, unspecified site | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.41 Chronic osteomyelitis with draining sinus, shoulder | ||||
| M86.411 | Chronic osteomyelitis with draining sinus, right shoulder | Can lead a claim | E | None |
| M86.412 | Chronic osteomyelitis with draining sinus, left shoulder | Can lead a claim | E | None |
| M86.419 | Chronic osteomyelitis with draining sinus, unspecified shoulderCMS: Chronic osteomyelitis with draining sinus, unsp shoulder | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.42 Chronic osteomyelitis with draining sinus, humerus | ||||
| M86.421 | Chronic osteomyelitis with draining sinus, right humerus | Can lead a claim | E | None |
| M86.422 | Chronic osteomyelitis with draining sinus, left humerus | Can lead a claim | E | None |
| M86.429 | Chronic osteomyelitis with draining sinus, unspecified humerusCMS: Chronic osteomyelitis with draining sinus, unsp humerus | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.43 Chronic osteomyelitis with draining sinus, radius and ulna | ||||
| M86.431 | Chronic osteomyelitis with draining sinus, right radius and ulnaCMS: Chronic osteomyelit w draining sinus, right radius and ulna | Can lead a claim | E | None |
| M86.432 | Chronic osteomyelitis with draining sinus, left radius and ulnaCMS: Chronic osteomyelitis w draining sinus, left radius and ulna | Can lead a claim | E | None |
| M86.439 | Chronic osteomyelitis with draining sinus, unspecified radius and ulnaCMS: Chronic osteomyelitis w draining sinus, unsp radius and ulna | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.44 Chronic osteomyelitis with draining sinus, hand | ||||
| M86.441 | Chronic osteomyelitis with draining sinus, right hand | Can lead a claim | E | None |
| M86.442 | Chronic osteomyelitis with draining sinus, left hand | Can lead a claim | E | None |
| M86.449 | Chronic osteomyelitis with draining sinus, unspecified hand | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.45 Chronic osteomyelitis with draining sinus, femur | ||||
| M86.451 | Chronic osteomyelitis with draining sinus, right femur | Can lead a claim | E | None |
| M86.452 | Chronic osteomyelitis with draining sinus, left femur | Can lead a claim | E | None |
| M86.459 | Chronic osteomyelitis with draining sinus, unspecified femur | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.46 Chronic osteomyelitis with draining sinus, tibia and fibula | ||||
| M86.461 | Chronic osteomyelitis with draining sinus, right tibia and fibulaCMS: Chronic osteomyelit w draining sinus, right tibia and fibula | Can lead a claim | E | None |
| M86.462 | Chronic osteomyelitis with draining sinus, left tibia and fibulaCMS: Chronic osteomyelit w draining sinus, left tibia and fibula | Can lead a claim | E | None |
| M86.469 | Chronic osteomyelitis with draining sinus, unspecified tibia and fibulaCMS: Chronic osteomyelit w draining sinus, unsp tibia and fibula | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.47 Chronic osteomyelitis with draining sinus, ankle and foot | ||||
| M86.471 | Chronic osteomyelitis with draining sinus, right ankle and footCMS: Chronic osteomyelitis w draining sinus, right ankle and foot | Can lead a claim | E | None |
| M86.472 | Chronic osteomyelitis with draining sinus, left ankle and footCMS: Chronic osteomyelitis w draining sinus, left ankle and foot | Can lead a claim | E | None |
| M86.479 | Chronic osteomyelitis with draining sinus, unspecified ankle and footCMS: Chronic osteomyelitis w draining sinus, unsp ankle and foot | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.48 | Chronic osteomyelitis with draining sinus, other site | Can lead a claim | E | None |
| M86.49 | Chronic osteomyelitis with draining sinus, multiple sites | Can lead a claim | E | None |
| M86.5 Other chronic hematogenous osteomyelitis | ||||
| M86.50 | Other chronic hematogenous osteomyelitis, unspecified site | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.51 Other chronic hematogenous osteomyelitis, shoulder | ||||
| M86.511 | Other chronic hematogenous osteomyelitis, right shoulder | Can lead a claim | E | None |
| M86.512 | Other chronic hematogenous osteomyelitis, left shoulder | Can lead a claim | E | None |
| M86.519 | Other chronic hematogenous osteomyelitis, unspecified shoulderCMS: Other chronic hematogenous osteomyelitis, unsp shoulder | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.52 Other chronic hematogenous osteomyelitis, humerus | ||||
| M86.521 | Other chronic hematogenous osteomyelitis, right humerus | Can lead a claim | E | None |
| M86.522 | Other chronic hematogenous osteomyelitis, left humerus | Can lead a claim | E | None |
| M86.529 | Other chronic hematogenous osteomyelitis, unspecified humerusCMS: Other chronic hematogenous osteomyelitis, unsp humerus | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.53 Other chronic hematogenous osteomyelitis, radius and ulna | ||||
| M86.531 | Other chronic hematogenous osteomyelitis, right radius and ulnaCMS: Oth chronic hematogenous osteomyelit, right radius and ulna | Can lead a claim | E | None |
| M86.532 | Other chronic hematogenous osteomyelitis, left radius and ulnaCMS: Oth chronic hematogenous osteomyelitis, left radius and ulna | Can lead a claim | E | None |
| M86.539 | Other chronic hematogenous osteomyelitis, unspecified radius and ulnaCMS: Oth chronic hematogenous osteomyelitis, unsp radius and ulna | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.54 Other chronic hematogenous osteomyelitis, hand | ||||
| M86.541 | Other chronic hematogenous osteomyelitis, right hand | Can lead a claim | E | None |
| M86.542 | Other chronic hematogenous osteomyelitis, left hand | Can lead a claim | E | None |
| M86.549 | Other chronic hematogenous osteomyelitis, unspecified hand | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.55 Other chronic hematogenous osteomyelitis, femur | ||||
| M86.551 | Other chronic hematogenous osteomyelitis, right femur | Can lead a claim | E | None |
| M86.552 | Other chronic hematogenous osteomyelitis, left femur | Can lead a claim | E | None |
| M86.559 | Other chronic hematogenous osteomyelitis, unspecified femur | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.56 Other chronic hematogenous osteomyelitis, tibia and fibula | ||||
| M86.561 | Other chronic hematogenous osteomyelitis, right tibia and fibulaCMS: Oth chronic hematogenous osteomyelit, right tibia and fibula | Can lead a claim | E | None |
| M86.562 | Other chronic hematogenous osteomyelitis, left tibia and fibulaCMS: Oth chronic hematogenous osteomyelit, left tibia and fibula | Can lead a claim | E | None |
| M86.569 | Other chronic hematogenous osteomyelitis, unspecified tibia and fibulaCMS: Oth chronic hematogenous osteomyelit, unsp tibia and fibula | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.57 Other chronic hematogenous osteomyelitis, ankle and foot | ||||
| M86.571 | Other chronic hematogenous osteomyelitis, right ankle and footCMS: Oth chronic hematogenous osteomyelitis, right ankle and foot | Can lead a claim | E | None |
| M86.572 | Other chronic hematogenous osteomyelitis, left ankle and footCMS: Oth chronic hematogenous osteomyelitis, left ankle and foot | Can lead a claim | E | None |
| M86.579 | Other chronic hematogenous osteomyelitis, unspecified ankle and footCMS: Oth chronic hematogenous osteomyelitis, unsp ankle and foot | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.58 | Other chronic hematogenous osteomyelitis, other site | Can lead a claim | E | None |
| M86.59 | Other chronic hematogenous osteomyelitis, multiple sites | Can lead a claim | E | None |
| M86.6 Other chronic osteomyelitis | ||||
| M86.60 | Other chronic osteomyelitis, unspecified site | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.61 Other chronic osteomyelitis, shoulder | ||||
| M86.611 | Other chronic osteomyelitis, right shoulder | Can lead a claim | E | None |
| M86.612 | Other chronic osteomyelitis, left shoulder | Can lead a claim | E | None |
| M86.619 | Other chronic osteomyelitis, unspecified shoulder | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.62 Other chronic osteomyelitis, humerus | ||||
| M86.621 | Other chronic osteomyelitis, right humerus | Can lead a claim | E | None |
| M86.622 | Other chronic osteomyelitis, left humerus | Can lead a claim | E | None |
| M86.629 | Other chronic osteomyelitis, unspecified humerus | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.63 Other chronic osteomyelitis, radius and ulna | ||||
| M86.631 | Other chronic osteomyelitis, right radius and ulna | Can lead a claim | E | None |
| M86.632 | Other chronic osteomyelitis, left radius and ulna | Can lead a claim | E | None |
| M86.639 | Other chronic osteomyelitis, unspecified radius and ulna | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.64 Other chronic osteomyelitis, hand | ||||
| M86.641 | Other chronic osteomyelitis, right hand | Can lead a claim | E | None |
| M86.642 | Other chronic osteomyelitis, left hand | Can lead a claim | E | None |
| M86.649 | Other chronic osteomyelitis, unspecified hand | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.65 Other chronic osteomyelitis, thigh | ||||
| M86.651 | Other chronic osteomyelitis, right thigh | Can lead a claim | E | None |
| M86.652 | Other chronic osteomyelitis, left thigh | Can lead a claim | E | None |
| M86.659 | Other chronic osteomyelitis, unspecified thigh | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.66 Other chronic osteomyelitis, tibia and fibula | ||||
| M86.661 | Other chronic osteomyelitis, right tibia and fibula | Can lead a claim | E | None |
| M86.662 | Other chronic osteomyelitis, left tibia and fibula | Can lead a claim | E | None |
| M86.669 | Other chronic osteomyelitis, unspecified tibia and fibula | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.67 Other chronic osteomyelitis, ankle and foot | ||||
| M86.671 | Other chronic osteomyelitis, right ankle and foot | Can lead a claim | E | None |
| M86.672 | Other chronic osteomyelitis, left ankle and foot | Can lead a claim | E | None |
| M86.679 | Other chronic osteomyelitis, unspecified ankle and foot | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.68 | Other chronic osteomyelitis, other site | Can lead a claim | E | None |
| M86.69 | Other chronic osteomyelitis, multiple sites | Can lead a claim | E | None |
| M86.8 Other osteomyelitis | ||||
| M86.8X Other osteomyelitis | ||||
| M86.8X0 | Other osteomyelitis, multiple sites | Can lead a claim | E | None |
| M86.8X1 Other osteomyelitis, shoulder | ||||
| M86.8X11 | Other osteomyelitis, right shoulder | Can lead a claim | E | None |
| M86.8X12 | Other osteomyelitis, left shoulder | Can lead a claim | E | None |
| M86.8X19 | Other osteomyelitis, unspecified shoulder | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.8X2 Other osteomyelitis, upper arm | ||||
| M86.8X21 | Other osteomyelitis, right upper arm | Can lead a claim | E | None |
| M86.8X22 | Other osteomyelitis, left upper arm | Can lead a claim | E | None |
| M86.8X29 | Other osteomyelitis, unspecified upper arm | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.8X3 Other osteomyelitis, forearm | ||||
| M86.8X31 | Other osteomyelitis, right forearm | Can lead a claim | E | None |
| M86.8X32 | Other osteomyelitis, left forearm | Can lead a claim | E | None |
| M86.8X39 | Other osteomyelitis, unspecified forearm | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.8X4 Other osteomyelitis, hand | ||||
| M86.8X41 | Other osteomyelitis, right hand | Can lead a claim | E | None |
| M86.8X42 | Other osteomyelitis, left hand | Can lead a claim | E | None |
| M86.8X49 | Other osteomyelitis, unspecified hand | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.8X5 Other osteomyelitis, thigh | ||||
| M86.8X51 | Other osteomyelitis, right thigh | Can lead a claim | E | None |
| M86.8X52 | Other osteomyelitis, left thigh | Can lead a claim | E | None |
| M86.8X59 | Other osteomyelitis, unspecified thigh | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.8X6 Other osteomyelitis, lower leg | ||||
| M86.8X61 | Other osteomyelitis, right lower leg | Can lead a claim | E | None |
| M86.8X62 | Other osteomyelitis, left lower leg | Can lead a claim | E | None |
| M86.8X69 | Other osteomyelitis, unspecified lower leg | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.8X7 Other osteomyelitis, ankle and foot | ||||
| M86.8X71 | Other osteomyelitis, right ankle and foot | Can lead a claim | E | None |
| M86.8X72 | Other osteomyelitis, left ankle and foot | Can lead a claim | E | None |
| M86.8X79 | Other osteomyelitis, unspecified ankle and foot | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.8X8 Other osteomyelitis, other site | ||||
| M86.8X80 | Other osteomyelitis, skull | Can lead a claim | E | None |
| M86.8X81 | Other osteomyelitis, face and sinuses | Can lead a claim | E | None |
| M86.8X89 | Other osteomyelitis, other site | Can lead a claim | E | None |
| M86.8X9 | Other osteomyelitis, unspecified sites | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| M86.9 | Osteomyelitis, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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