ICD-10-CM Billable Code

M86.31

Chronic multifocal osteomyelitis, shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Chronic multifocal osteomyelitis of the shoulder is a rare, persistent bone infection that affects multiple areas within the shoulder region. This condition involves inflammation and destruction of bone tissue, which can cause long-term discomfort and structural issues if left untreated. It predominantly affects young and middle-aged individuals and requires careful medical evaluation to determine the best course of action.

Causes & Symptoms

Clinical Causes: Unknown factors, often considered autoimmune or autoinflammatory processes Previous bacterial infection spreading to the shoulder bones Infections related to trauma or surgery in the shoulder area Rarely, fungal or atypical infections

Key Symptoms: Persistent shoulder pain that worsens over time Swelling and tenderness around the shoulder Limited range of motion in the shoulder joint Redness and warmth over the affected area Possible fever and general feeling of malaise Weakness or muscle atrophy around the shoulder

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical examination, imaging studies, and laboratory tests. Medical professionals may utilize the following methods:

Treatment Protocols: Managing chronic multifocal osteomyelitis of the shoulder involves a multidisciplinary approach aimed at controlling inflammation, eradicating infection, and preserving joint function:

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 M86.31 a billable ICD-10 code?
Yes, M86.31 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M86.31?
Clinical documentation must specify the nature of Chronic multifocal osteomyelitis, shoulder and any associated comorbidities for accurate reporting.

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