M86.351
BillableChronic multifocal osteomyelitis, right femur
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 right thighbone (femur), characterized by persistent inflammation and bone damage.
Coding Tips
- •Confirm right femur involvement and multifocal nature of the infection
- •Distinguish from localized osteomyelitis affecting only one site of the femur
Clinical Significance
Chronic multifocal osteomyelitis of the right femur represents a severe infection of the body's largest bone, with potential for significant morbidity including pathologic fractures and functional impairment. This condition requires aggressive treatment and long-term monitoring due to the femur's weight-bearing function.
Documentation Requirements
- ✓Specific documentation of right femur involvement
- ✓Evidence of chronic infection (>6 weeks or recurrent episodes)
- ✓Confirmation of multifocal pattern within the femur
- ✓Imaging findings demonstrating chronic osteomyelitic changes
- ✓Assessment of weight-bearing capacity and mobility
- ✓Laboratory findings supporting chronic infectious process
- ✓Documentation of treatment modalities and responses
- ✓Provider assessment confirming chronic multifocal osteomyelitis
Commonly Confused Codes
M86.151 — Acute osteomyelitis of right femur, differs by chronicityM86.352 — Same condition affecting left femurM86.451 — Chronic osteomyelitis with draining sinus of right femurM86.551 — Other chronic hematogenous osteomyelitis of right femurM87.051 — Idiopathic aseptic necrosis of right femur, non-infectious
Code Hierarchy
└M86Osteomyelitis└M86.3Chronic multifocal osteomyelitis└M86.35Chronic multifocal osteomyelitis, femur└M86.351Chronic multifocal osteomyelitis, right femur
└M86.351Chronic multifocal osteomyelitis, right femur