M86.052
Acute hematogenous osteomyelitis, left femur
Clinical Classification Guidelines
Medical Intelligence & Overview
Acute hematogenous osteomyelitis of the left femur is an infection of the bone caused by bacteria that enter the bone through the bloodstream. It commonly affects children but can also occur in adults. This condition requires prompt diagnosis and treatment to prevent long-term complications such as bone destruction or chronic infection. The ICD-10 code M86.052 specifically refers to acute hematogenous osteomyelitis affecting the left femur, highlighting the location and nature of the infection.
Causes & Symptoms
Clinical Causes: Bacterial infections, most commonly Staphylococcus aureus Spread of infection through the bloodstream from other parts of the body Injury or trauma to the thigh or nearby areas providing an entry point for bacteria Compromised immune system making an individual more susceptible Recent surgeries or invasive procedures near the affected area
Key Symptoms: Severe pain in the thigh or groin, often worsening with movement Swelling and tenderness over the affected area Redness and warmth of the skin over the left thigh Fever and chills, indicating systemic infection Reduced range of motion or difficulty bearing weight on the affected leg Fatigue and general feeling of illness
Diagnostic & Treatment
Diagnosis Path: Blood tests to identify infection markers such as elevated white blood cell count and C-reactive protein (CRP) Blood cultures to detect bacteria in the bloodstream Imaging studies like X-rays, MRI, or bone scans to visualize bone inflammation and destruction Bone biopsy or aspiration to identify the causative bacteria directly from the infected tissue
Treatment Protocols: Antibiotic therapy, usually broad-spectrum initially and later tailored based on bacterial identification Immobilization of the affected limb to reduce pain and prevent further damage Pain management including analgesics Surgical intervention in cases where abscesses need drainage or extensive bone removal is necessary Monitoring and follow-up to assess response to treatment and prevent recurrence
Clinical Advice & FAQs
Billing Guidance
Is M86.052 a billable ICD-10 code?
Yes, M86.052 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M86.052?
Clinical documentation must specify the nature of Acute hematogenous osteomyelitis, left femur and any associated comorbidities for accurate reporting.
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