M86.341
BillableChronic multifocal 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 chronic bone infection affecting multiple areas of the bones in the right hand, including the metacarpals and phalanges.
Coding Tips
- •Confirm the infection involves multiple sites within the right hand rather than a single bone
- •Document which specific hand bones are affected for clinical clarity
Clinical Significance
Chronic multifocal osteomyelitis of the right hand represents a complex condition affecting multiple small bones, potentially causing significant functional disability and pain. This condition requires specialized treatment and monitoring due to the hand's complex anatomy and importance for daily activities.
Documentation Requirements
- ✓Specific documentation of right hand involvement
- ✓Evidence of chronic infection (duration >6 weeks or recurrent episodes)
- ✓Confirmation of multifocal involvement (multiple hand bones affected)
- ✓Imaging findings showing osteomyelitic changes in hand bones
- ✓Clinical assessment of hand function and pain levels
- ✓Laboratory results supporting infectious process
- ✓Documentation of treatment attempts and responses
- ✓Provider confirmation of chronic multifocal osteomyelitis diagnosis
Commonly Confused Codes
M86.141 — Acute osteomyelitis of right hand, differs by acute presentationM86.342 — Same condition affecting left hand insteadM86.441 — Chronic osteomyelitis with draining sinus of right handM86.541 — Other chronic hematogenous osteomyelitis of right handM25.541 — Pain in joints of right hand, lacks infectious component
Code Hierarchy
└M86Osteomyelitis└M86.3Chronic multifocal osteomyelitis└M86.34Chronic multifocal osteomyelitis, hand└M86.341Chronic multifocal osteomyelitis, right hand
└M86.341Chronic multifocal osteomyelitis, right hand