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M86.011 vs M86.012

M86.011 (Acute hematogenous osteomyelitis, right shoulder) compared with M86.012 (Acute hematogenous osteomyelitis, left shoulder), from the official CMS tabular data. M86.011 and M86.012 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M86.011
Right
Acute hematogenous osteomyelitis, right shoulder
M86.012
Left
Acute hematogenous osteomyelitis, left shoulder

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M86.011 and M86.012 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M86.011Acute hematogenous osteomyelitis, right shoulderM86.012Acute hematogenous osteomyelitis, left shoulder
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionAcute hematogenous osteomyelitis, right shoulder is a billable ICD-10-CM diagnosis code (M86.011).Acute hematogenous osteomyelitis, left shoulder is a billable ICD-10-CM diagnosis code (M86.012).
Use additional code
code (B95-B97) to identify infectious agent
code to identify major osseous defect, if applicable (M89.7-)
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