M86.09 Acute hematogenous osteomyelitis, multiple sites

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from M86 Osteomyelitis

Excludes1 (never code together)

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

Excludes2 (not included here)

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

Use additional code

• code (B95-B97) to identify infectious agent
• code to identify major osseous defect, if applicable (M89.7-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis
• CMS-HCC V22: HCC 39 — Bone/Joint/Muscle Infections/Necrosis
• ESRD V24: HCC 39

MS-DRG index

Defines the logic of DRG(s) 456-458 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 730.09 Acute osteomyelitis, multiple sites (approximate)

Code annotations containing back-references to M86.09

Back-references to M86

• Code First: M89.7 Major osseous defect ("osteomyelitis (M86.-)")

Diagnosis Index entries for M86.09

• Osteomyelitis (general) (infective) (localized) (neonatal) (purulent) (septic) (staphylococcal) (streptococcal) (suppurative) (with periostitis) › acute › hematogenous › multiple sites

Nearby codes

• M86.07 Acute hematogenous osteomyelitis, ankle and foot
• M86.071 Acute hematogenous osteomyelitis, right ankle and foot
• M86.072 Acute hematogenous osteomyelitis, left ankle and foot
• M86.079 Acute hematogenous osteomyelitis, unspecified ankle and foot
• M86.08 Acute hematogenous osteomyelitis, other sites
• M86.09 Acute hematogenous osteomyelitis, multiple sites (this code)
• M86.1 Other acute osteomyelitis
• M86.10 Other acute osteomyelitis, unspecified site
• M86.11 Other acute osteomyelitis, shoulder
• M86.111 Other acute osteomyelitis, right shoulder
• M86.112 Other acute osteomyelitis, left shoulder