M86.219
BillableSubacute osteomyelitis, unspecified shoulder
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 bone infection in the shoulder of unspecified side that develops gradually over weeks to months, causing inflammation and potential bone damage.
Coding Tips
- •Use this code only when laterality cannot be determined from documentation; query provider if possible for clarification
- •This is a less specific code; attempt to obtain laterality information before final coding
Clinical Significance
Subacute osteomyelitis of unspecified shoulder represents a bone infection with intermediate timeline affecting shoulder anatomy without laterality specification. This diagnosis warrants provider queries for laterality and careful monitoring to prevent chronic progression while preserving shoulder function.
Documentation Requirements
- ✓Documentation of shoulder bone infection without laterality
- ✓Evidence of subacute infection timeline
- ✓Clinical presentation of shoulder osteomyelitis
- ✓Imaging confirmation of shoulder bone involvement
- ✓Laboratory support for ongoing infection
- ✓Provider query for laterality specification
- ✓Assessment of shoulder function and mobility
- ✓Treatment plan appropriate for shoulder anatomy
Commonly Confused Codes
M86119 — Acute hematogenous osteomyelitis of unspecified shoulderM86619 — Chronic osteomyelitis with draining sinus of unspecified shoulderM86319 — Chronic multifocal osteomyelitis of unspecified shoulderM86211/212 — Right/left specific codes when laterality availableM25519 — Pain in unspecified shoulder
Code Hierarchy
└M86Osteomyelitis└M86.2Subacute osteomyelitis└M86.21Subacute osteomyelitis, shoulder└M86.219Subacute osteomyelitis, unspecified shoulder
└M86.219Subacute osteomyelitis, unspecified shoulder