M86.111

HCC Category Mapping

What This Code Means

A sudden bacterial bone infection in the right shoulder that is not blood-borne in origin, often resulting from trauma, surgery, or local spread of infection.

Coding Tips

• •Verify laterality is documented as right; if not specified, use M86.119
• •Distinguish from hematogenous osteomyelitis (M86.07x) which spreads through bloodstream

Clinical Significance

Other acute osteomyelitis of the right shoulder represents non-hematogenous bone infection typically resulting from trauma, surgery, or contiguous spread from adjacent structures. This condition requires aggressive treatment to preserve shoulder function and prevent progression to chronic infection with associated joint destruction and disability.

Documentation Requirements

• ✓Documentation of acute osteomyelitis of right shoulder
• ✓Confirmation that infection is not hematogenous in origin
• ✓Clinical presentation with shoulder pain, swelling, and limited range of motion
• ✓Imaging confirmation of bone infection in shoulder structures
• ✓Laboratory evidence supporting acute infectious process
• ✓Culture results and antibiotic sensitivity when available
• ✓Documentation of potential infection source (trauma, surgery, adjacent infection)
• ✓Assessment of shoulder function and range of motion limitations

Commonly Confused Codes