ICD-10-CM Billable Code

M86.152

Other acute osteomyelitis, left femur

Clinical Classification Guidelines

Medical Intelligence & Overview

Acute osteomyelitis is a rapid-onset bone infection that can affect any bone in the body. When it involves the left femur, which is the thigh bone, it generally results from bacteria infecting the site through the bloodstream or direct contact with an infected injury or surgical site. The condition requires prompt medical attention to prevent long-term damage to the bone and surrounding tissues. This overview explains what acute osteomyelitis of the left femur entails, its causes, symptoms, diagnosis, and treatment options.

Causes & Symptoms

Clinical Causes: Bacterial infections, most commonly caused by Staphylococcus aureus Spread of infection from nearby tissues or infected wound Bacteria traveling through the bloodstream from other parts of the body Direct contamination due to trauma or surgery involving the femur Certain predisposing conditions, such as a weakened immune system or chronic illness

Key Symptoms: Pain and tenderness in the thigh region, worsened by movement Swelling and warmth over the affected area Fever and chills Limited movement or stiffness in the hip or thigh General malaise and fatigue Possible pus formation if abscess develops

Diagnostic & Treatment

Diagnosis Path: Diagnosing acute osteomyelitis of the left femur involves a combination of clinical evaluation and diagnostic tests. Medical professionals may perform physical examinations to assess tenderness, swelling, and range of motion. Imaging studies such as X-rays can reveal bone destruction or periosteal reaction, though early changes may not be visible. Magnetic Resonance Imaging (MRI) offers more detailed images of infected bone and surrounding tissues. Laboratory tests, including blood work, often show elevated white blood cell counts and markers of inflammation such as ESR or CRP. Bone biopsy or aspirate may be necessary to identify the specific infectious organism and guide antibiotic therapy.

Treatment Protocols: Treatment for acute osteomyelitis of the left femur generally involves antibiotic therapy tailored to the causative bacteria. Hospitalization may be required initially for intravenous antibiotics and close monitoring. In some cases, surgical intervention is necessary to remove infected tissue, drain abscesses, or correct structural damage. Rest and immobilization of the affected limb are often recommended to facilitate healing. Long-term antibiotic courses may be needed to ensure complete eradication of the infection. Post-treatment rehabilitation such as physical therapy can help restore mobility and strength in the affected limb.

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 M86.152 a billable ICD-10 code?
Yes, M86.152 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M86.152?
Clinical documentation must specify the nature of Other acute osteomyelitis, left femur and any associated comorbidities for accurate reporting.

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