M86.141
BillableOther acute osteomyelitis, right hand
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 sudden bone infection in the bones of the right hand, which may involve the metacarpals or phalanges and typically follows trauma or puncture wounds.
Coding Tips
- •Confirm 'right' hand is documented; hand infections can be serious and may require urgent treatment
- •Note if infection involves specific bones (metacarpals, phalanges) for clinical clarity
Clinical Significance
Acute osteomyelitis of the right hand bones poses significant functional threats due to the complex anatomy and fine motor requirements of hand function. This condition often results from puncture wounds or trauma and requires immediate intervention to preserve hand mobility and prevent disability.
Documentation Requirements
- ✓Specific identification of right hand bone involvement
- ✓Documentation of acute onset infection
- ✓Clinical evidence of hand bone infection (swelling, pain, fever)
- ✓Imaging confirmation of osteomyelitis in hand bones
- ✓Laboratory support for active infection
- ✓Documentation of causative factors (trauma, puncture wound)
- ✓Assessment of functional impact on hand use
- ✓Treatment plan including surgical consideration if needed
Commonly Confused Codes
M86141 — This is the correct code, but often confused with soft tissue infectionsL03.111 — Cellulitis of right finger (soft tissue, not bone)M86641 — Chronic osteomyelitis with draining sinus of right handM86241 — Subacute osteomyelitis of right handS62.90XA — Unspecified fracture of right wrist and hand
Code Hierarchy
└M86Osteomyelitis└M86.1Other acute osteomyelitis└M86.14Other acute osteomyelitis, hand└M86.141Other acute osteomyelitis, right hand
└M86.141Other acute osteomyelitis, right hand