ICD-10-CM Billable Code

M86.11

Other acute osteomyelitis, shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Acute osteomyelitis of the shoulder is a serious infection that affects the bone within the shoulder joint. It requires prompt attention to prevent long-term damage or complications. This condition involves the rapid onset of infection, leading to inflammation and destruction of bone tissue. Recognizing the signs early and understanding the causes can help in managing this condition effectively.

Causes & Symptoms

Clinical Causes: Bacterial infections, most commonly Staphylococcus aureus Spread of infection from nearby tissues or skin through direct contact or trauma Bloodstream infections (hematogenous spread) that reach the shoulder bone Injury or surgery involving the shoulder area Compromised immune system, such as in diabetes or immunosuppressive conditions

Key Symptoms: Severe shoulder pain that worsens over time Swelling and redness around the shoulder Limited movement or stiffness in the shoulder joint Fever and chills General feeling of illness or fatigue Tenderness when touching the shoulder area

Diagnostic & Treatment

Diagnosis Path: Diagnosing acute osteomyelitis of the shoulder involves a combination of medical history review, physical examination, and diagnostic tests. These may include:

Treatment Protocols: Effective treatment of acute osteomyelitis of the shoulder focuses on eliminating the infection and preserving joint function. Common approaches include:

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 M86.11 a billable ICD-10 code?
Yes, M86.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M86.11?
Clinical documentation must specify the nature of Other acute osteomyelitis, shoulder and any associated comorbidities for accurate reporting.

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