M86.011
BillableAcute hematogenous osteomyelitis, right shoulder
HCC Category Mapping
V28HCC 92 — Bone/Joint/Muscle Infections/Necrosis
0.209V24HCC 39 — Bone/Joint/Muscle Infections/Necrosis
0.482ESRDHCC 39 — Bone/Joint/Muscle Infections/Necrosis
0.000What This Code Means
A serious bone infection of the right shoulder bone caused by bacteria spreading through the bloodstream, requiring urgent treatment.
Coding Tips
- •Ensure documentation clearly identifies the right shoulder as the infection site before coding
- •Consider adding a secondary code for the causative organism if documented (e.g., Staphylococcus aureus)
Clinical Significance
Acute hematogenous osteomyelitis of the right shoulder represents serious bloodstream-spread infection to the shoulder girdle bones, requiring immediate intensive treatment to prevent joint destruction and systemic complications. This location poses risks for functional impairment and potential septic arthritis of the glenohumeral joint.
Documentation Requirements
- ✓Documentation of acute osteomyelitis affecting right shoulder bones
- ✓Evidence of hematogenous (bloodstream) spread
- ✓Clinical findings of shoulder pain, swelling, limited motion
- ✓Imaging studies showing right shoulder bone infection
- ✓Blood and bone cultures when available
- ✓Treatment with IV antibiotics and possible surgical debridement
- ✓Assessment for joint involvement
Commonly Confused Codes
M86111 — Other acute osteomyelitis, right shoulder (not hematogenous)M00.011 — Staphylococcal arthritis, right shoulder (joint vs. bone)M75.31 — Calcific tendinitis of right shoulder (calcium deposits)S42.001A — Fracture of unspecified part of right clavicleM86012 — Acute hematogenous osteomyelitis, left shoulder