M86.08

Billable

Acute hematogenous osteomyelitis, other sites

HCC Category Mapping

V28HCC 92 — Bone/Joint/Muscle Infections/Necrosis

0.209

V24HCC 39 — Bone/Joint/Muscle Infections/Necrosis

0.482

ESRDHCC 39 — Bone/Joint/Muscle Infections/Necrosis

0.000

What This Code Means

A bacterial bone infection that develops suddenly and spreads through the bloodstream, occurring in body sites other than the shoulder, humerus, radius, ulna, pelvis, or ankle/foot.

Coding Tips

•Specify the anatomical site in documentation when possible for more precise coding
•This is a catch-all code for less common sites of acute hematogenous osteomyelitis

Clinical Significance

Acute hematogenous osteomyelitis at other sites represents bloodstream-disseminated bone infections affecting locations not specifically categorized elsewhere, requiring immediate antibiotic intervention. These infections carry high morbidity risk and potential for complications including sepsis, bone destruction, and chronic infection requiring long-term management.

Documentation Requirements

✓Clear documentation of acute hematogenous osteomyelitis
✓Specific identification of affected bone site not covered by other M86.0 codes
✓Clinical evidence of bone infection with systemic symptoms
✓Radiological confirmation of osteomyelitis at the specified site
✓Laboratory markers indicating active bacterial infection
✓Blood culture results and organism identification when possible
✓Documentation of infection origin as hematogenous spread
✓Treatment plan with appropriate antibiotic therapy duration

Commonly Confused Codes

M86.00 — Use when the specific site is completely unspecified M86.09 — Use when multiple sites are involved simultaneously M86.18 — Use for non-hematogenous acute osteomyelitis at other sites M86.68 — Use for chronic osteomyelitis at other sites

Code Hierarchy

└M86Osteomyelitis └M86.0Acute hematogenous osteomyelitis └M86.08Acute hematogenous osteomyelitis, other sites

└M86.08Acute hematogenous osteomyelitis, other sites