M86.142
BillableOther acute osteomyelitis, left 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 affecting the bones of the left hand, often resulting from puncture wounds, bites, or other traumatic injuries.
Coding Tips
- •Verify 'left' hand is specified in documentation
- •Hand osteomyelitis can progress rapidly; ensure acute status is confirmed and appropriate treatment is documented
Clinical Significance
Acute osteomyelitis of the left 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 left 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
M86142 — This is the correct code, but often confused with soft tissue infectionsL03.112 — Cellulitis of left finger (soft tissue, not bone)M86642 — Chronic osteomyelitis with draining sinus of left handM86242 — Subacute osteomyelitis of left handS62.92XA — Unspecified fracture of left wrist and hand
Code Hierarchy
└M86Osteomyelitis└M86.1Other acute osteomyelitis└M86.14Other acute osteomyelitis, hand└M86.142Other acute osteomyelitis, left hand
└M86.142Other acute osteomyelitis, left hand