2026 ICD-10-CM Diagnosis Code M86.629Other chronic osteomyelitis, unspecified humerus

ICD-10-CM Codes›M00–M99›M86-M90›M86

ICD-10-CM M86.629
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M86.629 is a billable ICD-10-CM diagnosis code for other chronic osteomyelitis, unspecified humerus. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 539 through 541. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. Coders also document this condition as chronic osteomyelitis of elbow. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Osteomyelitis.

Code Identity

ICD-10-CM Code
M86.629
Billable Status
Yes — Valid for Submission
Code Describes
Other chronic osteomyelitis, unspecified humerus
Short Description
Other chronic osteomyelitis, unspecified humerus
Same as the full description in the CMS dataset.
Parent Code
M86.62
Other chronic osteomyelitis, humerus

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM86-M90Other osteopathies
CategoryM86Osteomyelitis
This CodeM86.629Other chronic osteomyelitis, unspecified humerus

Code EditsBilling

Medicare Code Editor checks that affect claim validity for M86.629.

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.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Chronic osteomyelitis of elbow
  • Chronic osteomyelitis of upper arm
  • Infection of humerus
  • Osteomyelitis of elbow
  • Osteomyelitis of upper arm

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 M86.629 to ICD-9-CMHistory

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

ICD-9-CM
730.12 Chr osteomyelit-up/arm
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 M86.629Overview

Is M86.629 (Other chronic osteomyelitis, humerus) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other chronic osteomyelitis, unspecified humerus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M86.629 group to?

When other chronic osteomyelitis, unspecified humerus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 539, 540, 541, with relative weights from 0.7715 to 1.9697 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M86.629?

Under the General Equivalence Mappings, other chronic osteomyelitis, unspecified humerus converts to ICD-9-CM 730.12 (chr osteomyelit-up/arm). 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.