M86.01
Acute hematogenous osteomyelitis, shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
Acute hematogenous osteomyelitis of the shoulder is a serious bone infection that occurs when bacteria enter the bloodstream and settle in the shoulder bones, causing inflammation and destruction. This condition primarily affects children and young adults but can occur at any age. Recognizing the symptoms and understanding the causes are crucial for effective management and treatment.
Causes & Symptoms
Clinical Causes: Bacterial invasion via bloodstream (hematogenous spread) Staphylococcus aureus is the most common causative organism Spread from adjacent infected tissues or wounds Immunocompromised states, such as HIV/AIDS or chemotherapy Recent trauma or surgical procedures involving the shoulder
Key Symptoms: Sudden onset of shoulder pain and tenderness Swelling and warmth around the shoulder joint Limited range of motion and difficulty moving the shoulder Fever and chills General malaise and fatigue Possible redness over the shoulder area
Diagnostic & Treatment
Diagnosis Path: Diagnosing acute hematogenous osteomyelitis involves a combination of clinical assessment, laboratory tests, and imaging studies. Blood tests often reveal elevated inflammatory markers like ESR and CRP, and blood cultures may identify the causative bacteria. Imaging techniques such as X-rays might first appear normal but can show bone destruction or periosteal reaction later. MRI is highly sensitive and provides detailed images of bone and soft tissue involvement. A bone biopsy may be necessary to confirm the diagnosis and identify the specific bacteria responsible.
Treatment Protocols: Treatment strategies focus on eradicating the infection and preserving joint function. This typically includes:
Clinical Advice & FAQs
Billing Guidance
Is M86.01 a billable ICD-10 code?
Yes, M86.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M86.01?
Clinical documentation must specify the nature of Acute hematogenous osteomyelitis, shoulder and any associated comorbidities for accurate reporting.
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