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M86.061 vs M86.069

M86.061 (Acute hematogenous osteomyelitis, right tibia and fibula) compared with M86.069 (Acute hematogenous osteomyelitis, unspecified tibia and fibula), from the official CMS tabular data. M86.061 and M86.069 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M86.061
Right
Acute hematogenous osteomyelitis, right tibia and fibula
M86.069
Unspecified
Acute hematogenous osteomyelitis, unspecified tibia and fibula

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. M86.061 and M86.069 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

M86.061Acute hematogenous osteomyelitis, right tibia and fibulaM86.069Acute hematogenous osteomyelitis, unspecified tibia and fibula
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionAcute hematogenous osteomyelitis, right tibia and fibula is a billable ICD-10-CM diagnosis code (M86.061).Acute hematogenous osteomyelitis, unspecified tibia and fibula is a billable ICD-10-CM diagnosis code (M86.069).
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