M86.8X1 Other osteomyelitis, shoulder

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-)

Applies from M86.8 Other osteomyelitis

Applicable to

• Brodie's abscess

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)

• 730.11 Chronic osteomyelitis, shoulder region (approximate)

Code annotations containing back-references to M86.8X1

Back-references to M86

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

Nearby codes

• M86.68 Other chronic osteomyelitis, other site
• M86.69 Other chronic osteomyelitis, multiple sites
• M86.8 Other osteomyelitis
• M86.8X Other osteomyelitis
• M86.8X0 Other osteomyelitis, multiple sites
• M86.8X1 Other osteomyelitis, shoulder (this code)
• M86.8X2 Other osteomyelitis, upper arm
• M86.8X3 Other osteomyelitis, forearm
• M86.8X4 Other osteomyelitis, hand
• M86.8X5 Other osteomyelitis, thigh
• M86.8X6 Other osteomyelitis, lower leg