ICD-10 Coding for Osteomyelitis of the Right Foot(M86.071, M86.171, M86.371)
Complete ICD-10-CM coding and documentation guide for Osteomyelitis of the Right Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Osteomyelitis of the Right Foot
M86.0-M86.9Primary Range
Osteomyelitis codes, categorized by type and site
This range includes codes for different types of osteomyelitis, specifying laterality and site, crucial for accurate diagnosis and treatment documentation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M86.071 | Acute hematogenous osteomyelitis, right ankle and foot | Use when acute hematogenous osteomyelitis is confirmed in the right foot. |
|
| M86.171 | Other acute osteomyelitis, right ankle and foot | Use for acute osteomyelitis not due to hematogenous spread. |
|
| M86.371 | Chronic multifocal osteomyelitis, right ankle and foot | Use for chronic osteomyelitis with multifocal involvement. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for osteomyelitis right foot
Essential facts and insights about Osteomyelitis of the Right Foot
Primary ICD-10-CM Codes for osteomyelitis right foot
Decision Criteria
clinical Criteria
- Acute onset with hematogenous spread confirmed by imaging.
documentation Criteria
- Specify 'acute' and 'hematogenous' in the documentation.
Applicable To
- Acute bone infection of the right foot
Excludes
- Chronic osteomyelitis (M86.3-)
Clinical Validation Requirements
- Acute onset (<2 weeks)
- Hematogenous spread
- Confirmed by MRI
Code-Specific Risks
- Ensure documentation specifies 'acute' and 'hematogenous'.
Coding Notes
- Ensure laterality and type (acute/chronic) are documented.
M86.171 - Other acute osteomyelitis, right ankle and foot
Use for acute osteomyelitis not due to hematogenous spread.
Applicable To
- Acute osteomyelitis due to direct inoculation
Excludes
- Chronic osteomyelitis (M86.3-)
Clinical Validation Requirements
- Acute onset
- Direct inoculation or contiguous spread
Coding Notes
Document the specific cause of infection.
M86.371 - Chronic multifocal osteomyelitis, right ankle and foot
Use for chronic osteomyelitis with multifocal involvement.
Applicable To
- Chronic bone infection of the right foot
Excludes
- Acute osteomyelitis (M86.0-)
Clinical Validation Requirements
- Chronic (>4 weeks)
- Multifocal lesions on imaging
Coding Notes
Document chronicity and multifocal involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Staphylococcus aureus as the cause of diseases classified elsewhere
B95.6Pseudomonas as the cause of diseases classified elsewhere
B96.5Major osseous defect
M89.7-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Osteomyelitis of the Right Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M86.071.
Impact
Clinical: May lead to inappropriate antibiotic therapy., Regulatory: Increases risk of audit for incomplete documentation., Financial: Potentially reduces reimbursement due to lack of specificity.
Mitigation Strategy
Always document culture results., Link organism codes to osteomyelitis codes.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Increases risk of audit for unspecified coding., Data Quality: Reduces data accuracy and quality.
Mitigation Strategy
Always document the specific site and laterality.
Impact
Using unspecified codes increases audit risk.
Mitigation Strategy
Ensure documentation specifies type, site, and organism.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Osteomyelitis of the Right Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Osteomyelitis of the Right Foot
Use these documentation templates to ensure complete and accurate documentation for Osteomyelitis of the Right Foot. These templates include all required elements for proper coding and billing.
Acute hematogenous osteomyelitis in a diabetic patient
Specialty: PodiatryRequired Elements
- Patient history
- Lab results
- Imaging findings
- Culture results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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