M86.572
BillableOther chronic hematogenous osteomyelitis, left ankle and foot
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 long-term bone infection in the left ankle or foot that started from bacteria spreading through the bloodstream.
Coding Tips
- •Ensure documentation specifies left side to differentiate from right-sided infection
- •Verify chronic nature and hematogenous origin in clinical notes
Clinical Significance
Chronic hematogenous osteomyelitis affecting the left ankle and foot bones represents a serious infection that severely impacts weight-bearing function and mobility. The complex anatomy of the foot makes this condition particularly challenging to treat and often results in prolonged disability requiring comprehensive rehabilitation services.
Documentation Requirements
- ✓Confirmation of chronic nature (minimum 6 weeks duration or recurrent)
- ✓Evidence of hematogenous origin (bloodstream spread)
- ✓Specific involvement of left ankle and/or foot bones
- ✓Radiographic evidence of bone infection or destruction
- ✓Laboratory studies supporting chronic infection
- ✓Assessment of left lower extremity function and mobility
- ✓Documentation of antibiotic therapy and surgical procedures
- ✓Evaluation of complications such as bone deformity or fractures
Commonly Confused Codes
M86.571 — Other chronic hematogenous osteomyelitis, right ankle and foot (different side)M86.672 — Other chronic osteomyelitis, left ankle and foot (non-hematogenous origin)M86.472 — Chronic osteomyelitis with draining sinus, left ankle and foot (has sinus tract)M86.172 — Other acute osteomyelitis, left ankle and foot (acute presentation)E11.621 — Type 2 diabetes with foot ulcer (diabetic complication, different etiology)
Code Hierarchy
└M86Osteomyelitis└M86.5Other chronic hematogenous osteomyelitis└M86.57Other chronic hematogenous osteomyelitis, ankle and foot└M86.572Other chronic hematogenous osteomyelitis, left ankle and foot
└M86.572Other chronic hematogenous osteomyelitis, left ankle and foot