Learn about osteomyelitis of the foot, including diagnosis, ICD-10 codes (M86.17, M86.10, M86.87), treatment, and clinical documentation best practices. This resource provides information for healthcare professionals on diagnosing and coding foot osteomyelitis, covering acute, chronic, and subacute forms. Find details on symptoms, diagnostic imaging (X-ray, MRI, CT scan), microbiology, and antibiotic treatment considerations for proper medical record documentation.
Also known as
Osteomyelitis of foot
Infection and inflammation of the bone(s) in the foot.
Osteomyelitis
Inflammation of bone caused by infection, affecting various body sites.
Soft tissue disorders
Includes various soft tissue disorders that may accompany or complicate osteomyelitis.
Diseases of the nervous system
Peripheral neuropathy or nerve damage can be a complicating factor in foot osteomyelitis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the osteomyelitis acute?
When to use each related code
| Description |
|---|
| Osteomyelitis of Foot |
| Cellulitis of Foot |
| Diabetic Foot Ulcer |
Coding osteomyelitis of foot without laterality or specific bone documentation leads to unspecified codes and lower reimbursement.
Incorrectly coding acute or chronic osteomyelitis impacts DRG assignment and quality reporting, requiring accurate clinical documentation.
Missing documentation of infection source (e.g., Staphylococcus aureus) affects coding accuracy and potentially severity measures.
Patient presents with complaints consistent with osteomyelitis of the foot. Symptoms include localized foot pain, swelling, redness, warmth, and tenderness to palpation. The patient may also exhibit systemic symptoms such as fever, chills, and malaise. Onset of symptoms is reported as gradual or acute, depending on the underlying cause. Medical history includes type 2 diabetes mellitus, a significant risk factor for osteomyelitis. Physical examination reveals edema, erythema, and limited range of motion in the affected foot. Differential diagnosis includes cellulitis, gout, diabetic foot ulcer, and Charcot neuroarthropathy. Laboratory tests ordered include a complete blood count with differential, erythrocyte sedimentation rate, C-reactive protein, and blood cultures. Imaging studies, including plain radiographs, MRI, and or bone scan, are planned to confirm the diagnosis and assess the extent of bone involvement. Initial treatment includes intravenous antibiotic therapy based on suspected causative organism pending culture results. Surgical debridement may be necessary if medical management is unsuccessful or if there is evidence of abscess formation or necrotic bone. Patient education provided on wound care, medication adherence, and follow-up appointments. The patient is instructed to monitor for signs and symptoms of worsening infection, such as increased pain, drainage, or fever, and to return for reevaluation as needed. ICD-10 code M86.671, Osteomyelitis of right foot, is provisionally assigned, pending confirmation with imaging studies. CPT codes for evaluation and management, laboratory tests, and imaging studies will be documented and coded according to services rendered.