M86.4
Non-Billable

Chronic osteomyelitis with draining sinus

Non-Billable / Non-Specific Code

What is Chronic osteomyelitis with draining sinus?

ICD-10-CM M86.4 is the diagnosis code for Chronic osteomyelitis with draining sinus. This code falls under the section "Other osteopathies" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for M86.4

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where M86.4 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 10 entries
M86.40Chronic osteomyelitis with draining sinus, unspecified siteBillableM86.41Chronic osteomyelitis with draining sinus, shoulderNon-BillableM86.411Chronic osteomyelitis with draining sinus, right shoulderBillableM86.412Chronic osteomyelitis with draining sinus, left shoulderBillableM86.419Chronic osteomyelitis with draining sinus, unspecified shoulderBillableM86.42Chronic osteomyelitis with draining sinus, humerusNon-BillableM86.421Chronic osteomyelitis with draining sinus, right humerusBillableM86.422Chronic osteomyelitis with draining sinus, left humerusBillableM86.429Chronic osteomyelitis with draining sinus, unspecified humerusBillableM86.43Chronic osteomyelitis with draining sinus, radius and ulnaNon-BillableM86.431Chronic osteomyelitis with draining sinus, right radius and ulnaBillableM86.432Chronic osteomyelitis with draining sinus, left radius and ulnaBillableM86.439Chronic osteomyelitis with draining sinus, unspecified radius and ulnaBillableM86.44Chronic osteomyelitis with draining sinus, handNon-BillableM86.441Chronic osteomyelitis with draining sinus, right handBillableM86.442Chronic osteomyelitis with draining sinus, left handBillableM86.449Chronic osteomyelitis with draining sinus, unspecified handBillableM86.45Chronic osteomyelitis with draining sinus, femurNon-BillableM86.451Chronic osteomyelitis with draining sinus, right femurBillableM86.452Chronic osteomyelitis with draining sinus, left femurBillableM86.459Chronic osteomyelitis with draining sinus, unspecified femurBillableM86.46Chronic osteomyelitis with draining sinus, tibia and fibulaNon-BillableM86.461Chronic osteomyelitis with draining sinus, right tibia and fibulaBillableM86.462Chronic osteomyelitis with draining sinus, left tibia and fibulaBillableM86.469Chronic osteomyelitis with draining sinus, unspecified tibia and fibulaBillableM86.47Chronic osteomyelitis with draining sinus, ankle and footNon-BillableM86.471Chronic osteomyelitis with draining sinus, right ankle and footBillableM86.472Chronic osteomyelitis with draining sinus, left ankle and footBillableM86.479Chronic osteomyelitis with draining sinus, unspecified ankle and footBillableM86.48Chronic osteomyelitis with draining sinus, other siteBillableM86.49Chronic osteomyelitis with draining sinus, multiple sitesBillable
Related Codes

Frequently Asked Questions

Is M86.4 a billable ICD-10-CM code?

No, M86.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M86.4 mean?

M86.4 is the ICD-10-CM diagnosis code for "Chronic osteomyelitis with draining sinus". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M86.4?

The parent code of M86.4 is M86 ("Osteomyelitis"). M86.4 provides a more specific classification within this category.

What section is M86.4 in?

M86.4 is located in Section M86-M90 — "Other osteopathies" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M86.4?

M86.4 has 10 sub-code(s) that provide more specific detail: M86.40, M86.41, M86.42, M86.43, M86.44 and more.

When should I use M86.4?

Use M86.4 when the patients documented diagnosis matches "Chronic osteomyelitis with draining sinus" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Chronic osteomyelitis with draining sinus?

The ICD-10-CM code for Chronic osteomyelitis with draining sinus is M86.4.

Can M86.4 be used for primary diagnosis?

No, M86.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M86.4 in?

M86.4 is in Chapter 13 of the ICD-10-CM Tabular List.

Is M86.4 valid for 2026?

Yes, M86.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM86.39Chronic multifocal osteomyelitis, multiple sitesNext →M86.40Chronic osteomyelitis with draining sinus, unspecified site
Code Details
M86.4
Chronic osteomyelitis with draining sinus
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M86-M90 — Other osteopathies
2026 ICD-10-CM