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M86.6 ICD-10-CM Code: Other chronic osteomyelitis

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Other osteopathies (M86-M90)

M86.6

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other chronic osteomyelitis

Other chronic osteomyelitis

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
M86Osteomyelitis
M86.6Other chronic osteomyelitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for M86.6 in this effective period.

Excludes 2

Official
  • ostemyelitis of:
  • orbit (H05.0-)
  • petrous bone (H70.2-)
  • vertebra (M46.2-)

Related Child Codes

Official
M86.60Other chronic osteomyelitis, unspecified site
M86.61Other chronic osteomyelitis, shoulder
M86.62Other chronic osteomyelitis, humerus
M86.63Other chronic osteomyelitis, radius and ulna
M86.64Other chronic osteomyelitis, hand

Includes

Official

ICD-10-CM does not list Includes notes for M86.6 in this effective period.

Excludes 1

Official
  • osteomyelitis due to:
  • echinococcus (B67.2)
  • gonococcus (A54.43)
  • salmonella (A02.24)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M86.6 in this effective period.

Use Additional

Official
  • code (B95-B97) to identify infectious agent

Code Also

Official

ICD-10-CM does not list Code Also instructions for M86.6 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

M86.6 is the ICD-10-CM diagnosis code for other chronic osteomyelitis. M86.6 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering other osteopathies (m86-m90).

Header codes like M86.6 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at M86.6's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M86.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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