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M86.261 vs M86.269

M86.261 (Subacute osteomyelitis, right tibia and fibula) compared with M86.269 (Subacute osteomyelitis, unspecified tibia and fibula), from the official CMS tabular data. M86.261 and M86.269 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M86.261
Right
Subacute osteomyelitis, right tibia and fibula
M86.269
Unspecified
Subacute 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. M86.261 and M86.269 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

M86.261Subacute osteomyelitis, right tibia and fibulaM86.269Subacute 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)
DefinitionSubacute osteomyelitis, right tibia and fibula is a billable ICD-10-CM diagnosis code (M86.261).Subacute osteomyelitis, unspecified tibia and fibula is a billable ICD-10-CM diagnosis code (M86.269).
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