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B67.2 vs M86.8X21

B67.2 (Echinococcus granulosus infection of bone) compared with M86.8X21 (Other osteomyelitis, right upper arm), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1. MedCoder-derived

Relationship

Conflict

Excludes1 conflict

M86.8X21
Other osteomyelitis, right upper arm
B67.2
Echinococcus granulosus infection of bone

Not coded here — these two are mutually exclusive.

“echinococcus (B67.2)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. M86.8X21 carries an Excludes1 note covering B67.2: “echinococcus (B67.2)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

B67.2Echinococcus granulosus infection of boneM86.8X21Other osteomyelitis, right upper arm
Billing statusBillableBillable
ClassificationA00-B99 — Certain Infectious and Parasitic Diseases (A00-B99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionEchinococcus granulosus infection of bone is a billable ICD-10-CM diagnosis code (B67.2).Other osteomyelitis, right upper arm is a billable ICD-10-CM diagnosis code (M86.8X21).
Includes
hydatidosis
Use additional code
code (B95-B97) to identify infectious agent
code to identify major osseous defect, if applicable (M89.7-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources