Facebook tracking pixelOsteomyelitis of Foot - AI-Powered ICD-10 Documentation
M86.9
ICD-10-CM
Osteomyelitis of Foot

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

Bone Infection of Foot
Foot Osteomyelitis

Diagnosis Snapshot

Key Facts
  • Definition : Bone infection, often bacterial, in the foot.
  • Clinical Signs : Foot pain, swelling, redness, warmth, limited mobility, fever.
  • Common Settings : Diabetes, foot ulcers, trauma, puncture wounds, surgery.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M86.9 Coding
M86.6

Osteomyelitis of foot

Infection and inflammation of the bone(s) in the foot.

M86.0-M86.9

Osteomyelitis

Inflammation of bone caused by infection, affecting various body sites.

M70.0-M79.9

Soft tissue disorders

Includes various soft tissue disorders that may accompany or complicate osteomyelitis.

G00-G99

Diseases of the nervous system

Peripheral neuropathy or nerve damage can be a complicating factor in foot osteomyelitis.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the osteomyelitis acute?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Osteomyelitis of Foot
Cellulitis of Foot
Diabetic Foot Ulcer

Documentation Best Practices

Documentation Checklist
  • Document laterality (left or right foot)
  • Specify acute or chronic osteomyelitis
  • Confirm diagnosis with imaging (X-ray, MRI, etc.)
  • Document infection source and causative organism if known
  • Record signs/symptoms: pain, swelling, redness, fever

Coding and Audit Risks

Common Risks
  • Unspecified Site

    Coding osteomyelitis of foot without laterality or specific bone documentation leads to unspecified codes and lower reimbursement.

  • Acute vs. Chronic

    Incorrectly coding acute or chronic osteomyelitis impacts DRG assignment and quality reporting, requiring accurate clinical documentation.

  • Causative Agent

    Missing documentation of infection source (e.g., Staphylococcus aureus) affects coding accuracy and potentially severity measures.

Mitigation Tips

Best Practices
  • Document infection site, type, laterality for ICD-10-CM M86 coding accuracy.
  • Capture bone biopsy, culture results for CDI of Osteomyelitis diagnosis.
  • Ensure appropriate antibiotic duration aligns with payer guidelines for compliance.
  • Query physician for complete clinical picture, including causative organism if known.
  • Monitor, document patient response to treatment for improved outcomes tracking.

Clinical Decision Support

Checklist
  • Confirm localized foot pain, swelling, erythema (ICD-10 M86.1)
  • Verify fever, chills, or other systemic infection signs (SNOMED CT 44054006)
  • Check WBC, ESR, CRP for inflammatory markers (LOINC 6690-2, 33755-4)
  • Obtain imaging (X-ray, MRI, bone scan) for bone involvement (CPT 73630, 73721)

Reimbursement and Quality Metrics

Impact Summary
  • Osteomyelitis Foot reimbursement hinges on accurate ICD-10 (M86) and CPT coding for debridement, surgery, or other procedures.
  • Coding errors impact DRG assignment, lowering reimbursement for osteomyelitis foot cases and triggering audits.
  • Quality metrics like infection control, readmission rates, and patient-reported outcomes are affected by osteomyelitis foot diagnosis coding.
  • Proper documentation and coding of osteomyelitis foot severity influences hospital quality reporting and value-based payments.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Specify foot bone, M77.1
  • Document infection source
  • Confirm osteomyelitis diagnosis
  • Code laterality: left/right
  • Check for pathologic fractures

Documentation Templates

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.