Is ICD-10-CM code M86.12 billable?

No, M86.12 (Other acute osteomyelitis, humerus) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code M86.12 belong to?

M86.12 belongs to Chapter 13 of the ICD-10-CM tabular list: M00–M99 — Diseases of the Musculoskeletal System and Connective Tissue.

M86.12

Non-Billable

ChapterM00–M99

Ranksubcategory

Description

Other acute osteomyelitis, humerus

Use a more specific code (3 billable)

M86.121Other acute osteomyelitis, right humerus M86.122Other acute osteomyelitis, left humerus M86.129Other acute osteomyelitis, unspecified humerus

Metadata & Insights

•Non-billable category (requires more specific sub-code).
•Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).

General instructions are available for the parent sections:

View CH13 Notes View M86-M90 Notes View M86 Notes

Clinical Hierarchy

BillableHas subcodes

CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)

M86-M90Other osteopathies (M86-M90)

M86Osteomyelitis

M86.1Other acute osteomyelitis

M86.12Other acute osteomyelitis, humerusNot billable

M86.121Other acute osteomyelitis, right humerusBillable

M86.122Other acute osteomyelitis, left humerusBillable

M86.129Other acute osteomyelitis, unspecified humerusBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M86.12:

categoryM86

Osteomyelitis

View context instructions

blockM86-M90

Other osteopathies (M86-M90)

View context instructions

chapterCH13

Diseases of the musculoskeletal system and connective tissue (M00-M99)

View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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