2026 ICD-10-CM Diagnosis Code M86.069Acute hematogenous osteomyelitis, unspecified tibia and fibula

ICD-10-CM Codes›M00–M99›M86-M90›M86

ICD-10-CM M86.069
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M86.069 is a billable ICD-10-CM diagnosis code for acute hematogenous osteomyelitis, unspecified tibia and fibula. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 485 through 487, 539 through 541. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Osteomyelitis.

Code Identity

ICD-10-CM Code
M86.069
Billable Status
Yes — Valid for Submission
Code Describes
Acute hematogenous osteomyelitis, unspecified tibia and fibula
Short Description
Acute hematogenous osteomyelitis, unsp tibia and fibula
Parent Code
M86.06
Acute hematogenous osteomyelitis, tibia and fibula

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM86-M90Other osteopathies
CategoryM86Osteomyelitis
This CodeM86.069Acute hematogenous osteomyelitis, unspecified tibia and fibula

Code EditsBilling

Medicare Code Editor checks that affect claim validity for M86.069.

Unspecified codes
Unspecified codes exist in the ICD-10-CM classification for circumstances when documentation in the medical record does not provide the level of detail needed to support reporting a more specific code. However, in the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported. The following pages contain the list of unspecified ICD-10-CM diagnosis codes for which there is a more specific code to identify laterality (right, left, bilateral) within that code family.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS002
Osteomyelitis
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Bone Infections

Like other parts of the body, bones can get infected. The infections are usually bacterial, but can also be fungal. They may spread to the bone from nearby skin or muscles, or from another part of the body through the bloodstream.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M86.069 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
730.06 Ac osteomyelitis-l/leg
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M86.069Overview

Is M86.069 (Acute hematogenous osteomyelitis, tibia and fibula) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report acute hematogenous osteomyelitis, unspecified tibia and fibula on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M86.069 group to?

When acute hematogenous osteomyelitis, unspecified tibia and fibula is the principal diagnosis on an inpatient stay, it groups to MS-DRG 485, 486, 487, 539, 540, 541, with relative weights from 0.7715 to 3.2271 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M86.069?

Under the General Equivalence Mappings, acute hematogenous osteomyelitis, unspecified tibia and fibula converts to ICD-9-CM 730.06 (ac osteomyelitis-l/leg). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.