M86.051
BillableAcute hematogenous osteomyelitis, right femur
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 bone infection in the right thighbone (femur) caused by bacteria spreading through the bloodstream.
Coding Tips
- •The femur is a large weight-bearing bone; ensure documentation confirms right side
- •This is a serious infection requiring prompt treatment; verify acute phase documentation
Clinical Significance
Acute hematogenous osteomyelitis of the right femur represents a serious bone infection that can lead to sepsis, chronic osteomyelitis, or pathologic fractures without prompt treatment. This condition requires immediate antibiotic therapy and often surgical intervention.
Documentation Requirements
- ✓Confirmed diagnosis of acute osteomyelitis affecting right femur
- ✓Evidence of hematogenous spread (bloodstream origin)
- ✓Positive blood cultures or bone biopsy identifying organism
- ✓Imaging studies showing acute bone infection (MRI preferred)
- ✓Documentation of acute onset (less than 2 weeks)
- ✓Antibiotic therapy plan and duration
- ✓Surgical intervention if performed
Commonly Confused Codes
M86.052 — Acute hematogenous osteomyelitis left femur (different laterality)M86.151 — Other acute osteomyelitis right femur (use when not hematogenous origin)M86.651 — Other chronic osteomyelitis right femur (use for chronic infection)S72.001A — Fracture of unspecified part of neck of right femur (use for fracture not infection)
Code Hierarchy
└M86Osteomyelitis└M86.0Acute hematogenous osteomyelitis└M86.05Acute hematogenous osteomyelitis, femur└M86.051Acute hematogenous osteomyelitis, right femur
└M86.051Acute hematogenous osteomyelitis, right femur