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New for FY2027 ICD-10-CM · October 1, 2026

M86.8X59: Other osteomyelitis, unspecified thigh

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Other osteomyelitis, unspecified thigh. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

Not in the current CMS mapping file (FY2027-new)

CMS-HCC V24

Not in the current CMS mapping file (FY2027-new)

ESRD

Not in the current CMS mapping file (FY2027-new)

PACE

Not in the current CMS mapping file (FY2027-new)

RxHCC

Not in the current CMS mapping file (FY2027-new)

HHS-HCC

Not in the current CMS mapping file (FY2027-new)

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Instructional note

Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Source: M00-M99 (chapter, inherited).

Excludes2

arthropathic psoriasis (L40.5-)

Source: M00-M99 (chapter, inherited).

Excludes2

certain conditions originating in the perinatal period (P04-P96)

Source: M00-M99 (chapter, inherited).

Excludes2

certain infectious and parasitic diseases (A00-B99)

Source: M00-M99 (chapter, inherited).

Excludes2

compartment syndrome (traumatic) (T79.A-)

Source: M00-M99 (chapter, inherited).

Excludes2

complications of pregnancy, childbirth and the puerperium (O00-O9A)

Source: M00-M99 (chapter, inherited).

Excludes2

congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)

Source: M00-M99 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: M00-M99 (chapter, inherited).

Excludes2

injury, poisoning and certain other consequences of external causes (S00-T88)

Source: M00-M99 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: M00-M99 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: M00-M99 (chapter, inherited).

Excludes1

postprocedural osteopathies (M96.-)

Source: M86-M90 (section, inherited).

Instructional note

code (B95-B97) to identify infectious agent

Source: M86 (category, inherited).

Instructional note

code to identify major osseous defect, if applicable (M89.7-)

Source: M86 (category, inherited).

Excludes1

osteomyelitis due to:

Source: M86 (category, inherited).

Excludes1

echinococcus (B67.2)

Source: M86 (category, inherited).

Excludes1

gonococcus (A54.43)

Source: M86 (category, inherited).

Excludes1

salmonella (A02.24)

Source: M86 (category, inherited).

Excludes2

ostemyelitis of:

Source: M86 (category, inherited).

Excludes2

orbit (H05.0-)

Source: M86 (category, inherited).

Excludes2

petrous bone (H70.2-)

Source: M86 (category, inherited).

Excludes2

vertebra (M46.2-)

Source: M86 (category, inherited).

Instructional note

Brodie's abscess

Source: M86.8 (self, inherited).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does M86.8X59 mean in FY2027?

The official ICD-10-CM descriptor is Other osteomyelitis, unspecified thigh. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

When did M86.8X59 become an ICD-10-CM code?

M86.8X59 is new for FY2027 ICD-10-CM, effective October 1, 2026. It is absent from the FY2026 April order file. Use the code set that applies to the encounter or inpatient discharge date, and check the official Tabular instructions.

Is M86.8X59 billable in FY2027?

The FY2027 order file marks M86.8X59 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does M86.8X59 map to an HCC?

M86.8X59 is not in the current CMS mapping file (it is new for FY2027), and CMS has not yet published payment year 2028 mappings. No HCC category or RAF coefficient is shown.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.