ICD-10-CM Billable Code

M86.011

Acute hematogenous osteomyelitis, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Acute hematogenous osteomyelitis of the right shoulder is a sudden infection of the bone caused by bacteria traveling through the bloodstream. This condition primarily affects the shoulder joint, leading to inflammation and potential destruction of bone tissue if not treated promptly. It most often occurs in children but can affect individuals of any age. Recognizing the symptoms and understanding the causes of this infection are crucial for timely medical intervention and effective management.

Causes & Symptoms

Clinical Causes: Bacterial infections, most commonly Staphylococcus aureus Spread of bacteria through bloodstream (hematogenous spread) Recent trauma or injury to the shoulder area Presence of skin infections or pus-filled abscesses nearby Weakened immune system due to chronic illness or immunosuppressive therapy

Key Symptoms: Sudden onset of shoulder pain, which worsens with movement Swelling and warmth around the shoulder joint Limited range of motion due to pain and inflammation Fever and chills, indicating systemic infection General malaise and fatigue Potential redness over the affected area

Diagnostic & Treatment

Diagnosis Path: Diagnosis usually involves a combination of clinical evaluation and diagnostic tests such as:

Treatment Protocols: Effective management of acute hematogenous osteomyelitis typically includes:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M86.011 a billable ICD-10 code?
Yes, M86.011 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M86.011?
Clinical documentation must specify the nature of Acute hematogenous osteomyelitis, right shoulder and any associated comorbidities for accurate reporting.

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