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M86.561 vs M86.569

M86.561 (Other chronic hematogenous osteomyelitis, right tibia and fibula) compared with M86.569 (Other chronic hematogenous osteomyelitis, unspecified tibia and fibula), from the official CMS tabular data. M86.561 and M86.569 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M86.561
Right
Other chronic hematogenous osteomyelitis, right tibia and fibula
M86.569
Unspecified
Other chronic 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. M86.561 and M86.569 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

M86.561Other chronic hematogenous osteomyelitis, right tibia and fibulaM86.569Other chronic 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)
DefinitionOther chronic hematogenous osteomyelitis, right tibia and fibula is a billable ICD-10-CM diagnosis code (M86.561).Other chronic hematogenous osteomyelitis, unspecified tibia and fibula is a billable ICD-10-CM diagnosis code (M86.569).
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