M86.062 ICD-10-CM Code: Acute hematogenous osteomyelitis, left tibia and fibula
M86.062 maps to CMS-HCC V28 92 (RAF 0.479). Documentation must support MEAT. MEAT criteria · RAF calculator · HCC coding software
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Other osteopathies (M86-M90)
M86.062
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceAcute hematogenous osteomyelitis, left tibia and fibula
A bone infection in the left shin bones (tibia and fibula) caused by bacteria spreading through the bloodstream.
Buddy Insight
Acute hematogenous osteomyelitis of the left tibia and fibula is a serious bloodstream-originated bone infection requiring aggressive treatment to prevent long-term complications including bone destruction, growth abnormalities, and chronic osteomyelitis.
CMS-HCC V28
MappedHCC 92
RAF 0.479
CMS-HCC V24
MappedHCC 39
RAF 0.401
ACA/HHS
MappedHCC 55
Varies by metal level
ESRD/PACE
MappedHCC 39
RAF 0.092
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for M86.062 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for M86.062 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for M86.062 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for M86.062 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for M86.062 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for M86.062 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for M86.062 in this effective period.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is M86.062 an HCC code?
Yes. M86.062 (Acute hematogenous osteomyelitis, left tibia and fibula) maps to Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis under the CMS-HCC V28 risk adjustment model (and Bone/Joint/Muscle Infections/Necrosis under V24), with a community non-dual aged RAF of 0.479. It is billable for payment year 2026.
Coder answer: M86.062 is billable and maps to V28 HCC 92, Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- M86.062
- Description
- Acute hematogenous osteomyelitis, left tibia and fibula
- HCC (V28)
- HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
- RAF
- 0.479
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
Each model's RAF is its CMS base weight for that model's standard population, so weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
Work M86.062 in the Code Book — tabular path, V28 RAF, and MEAT checklist →
MEAT Criteria for M86.062
For M86.062 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed M86.062 during that encounter, not just copy-forwarded from a problem list.
Coder workflow notes
Get the V28 RAF + MEAT cheat sheet
One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.
Free PDF. No card. Unsubscribe anytime.
What This Code Means
M86.062 is the ICD-10-CM diagnosis code for acute hematogenous osteomyelitis, left tibia and fibula. A bone infection in the left shin bones (tibia and fibula) caused by bacteria spreading through the bloodstream. M86.062 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other osteopathies (m86-m90).
Under the CMS-HCC V28 risk adjustment model, M86.062 maps to Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis (HCC 92) with a community, non-dual, aged base RAF weight of 0.479. Under the older CMS-HCC V24 model, M86.062 maps to Bone/Joint/Muscle Infections/Necrosis (HCC 39) with a community, non-dual, aged base RAF weight of 0.401. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
Ensure documentation specifies 'left' to differentiate from M86.061. Because M86.062 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M86.062 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Ensure documentation specifies 'left' to differentiate from M86.061
- •Both tibia and fibula are included in this code; document if only one bone is affected
Clinical Significance
Acute hematogenous osteomyelitis of the left tibia and fibula is a serious bloodstream-originated bone infection requiring aggressive treatment to prevent long-term complications including bone destruction, growth abnormalities, and chronic osteomyelitis. The involvement of both lower leg bones significantly impacts patient mobility and treatment complexity.
Documentation Requirements
- ✓Clear documentation of acute hematogenous osteomyelitis
- ✓Specific identification of left tibia and fibula involvement
- ✓Clinical symptoms supporting bone infection diagnosis
- ✓Radiological evidence of osteomyelitis in tibia and/or fibula
- ✓Laboratory findings consistent with bacterial infection
- ✓Blood culture results and antibiotic susceptibility when available
- ✓Documentation of pain severity and functional limitation
- ✓Treatment plan with IV antibiotic therapy duration