M86.449 Chronic osteomyelitis with draining sinus, unspecified hand

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) 539-541 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 730.14 Chronic osteomyelitis, hand (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to M86.449

Back-references to M86

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

Nearby codes

• M86.432 Chronic osteomyelitis with draining sinus, left radius and ulna
• M86.439 Chronic osteomyelitis with draining sinus, unspecified radius and ulna
• M86.44 Chronic osteomyelitis with draining sinus, hand
• M86.441 Chronic osteomyelitis with draining sinus, right hand
• M86.442 Chronic osteomyelitis with draining sinus, left hand
• M86.449 Chronic osteomyelitis with draining sinus, unspecified hand (this code)
• M86.45 Chronic osteomyelitis with draining sinus, femur
• M86.451 Chronic osteomyelitis with draining sinus, right femur
• M86.452 Chronic osteomyelitis with draining sinus, left femur
• M86.459 Chronic osteomyelitis with draining sinus, unspecified femur
• M86.46 Chronic osteomyelitis with draining sinus, tibia and fibula