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M86.451 vs M86.459

M86.451 (Chronic osteomyelitis with draining sinus, right femur) compared with M86.459 (Chronic osteomyelitis with draining sinus, unspecified femur), from the official CMS tabular data. M86.451 and M86.459 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M86.451
Right
Chronic osteomyelitis with draining sinus, right femur
M86.459
Unspecified
Chronic osteomyelitis with draining sinus, unspecified femur

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. M86.451 and M86.459 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

M86.451Chronic osteomyelitis with draining sinus, right femurM86.459Chronic osteomyelitis with draining sinus, unspecified femur
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 femur is a billable ICD-10-CM diagnosis code (M86.451).Chronic osteomyelitis with draining sinus, unspecified femur is a billable ICD-10-CM diagnosis code (M86.459).
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