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M86.411 vs M86.419

M86.411 (Chronic osteomyelitis with draining sinus, right shoulder) compared with M86.419 (Chronic osteomyelitis with draining sinus, unspecified shoulder), from the official CMS tabular data. M86.411 and M86.419 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M86.411
Right
Chronic osteomyelitis with draining sinus, right shoulder
M86.419
Unspecified
Chronic osteomyelitis with draining sinus, unspecified 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. M86.411 and M86.419 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

M86.411Chronic osteomyelitis with draining sinus, right shoulderM86.419Chronic osteomyelitis with draining sinus, unspecified shoulder
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)
DefinitionChronic osteomyelitis with draining sinus, right shoulder is a billable ICD-10-CM diagnosis code (M86.411).Chronic osteomyelitis with draining sinus, unspecified shoulder is a billable ICD-10-CM diagnosis code (M86.419).
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