2025 ICD-10-CM code M86
(Active) Effective Date: N/A Revision Date: N/A Osteopathies and chondropathies - Other osteopathies (M86-M90) Diseases of the musculoskeletal system and connective tissue (M00-M99) Feed
Osteomyelitis is a bone infection caused by bacteria or fungi, resulting in inflammation and pain.
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Medical necessity for the treatment of osteomyelitis is established by the presence of a bone infection confirmed through clinical findings, imaging, and laboratory results. Treatment is necessary to prevent bone damage, spread of infection, and potential life-threatening complications.The specific treatment regimen (antibiotics, surgery) is determined by the severity and type of infection.
Diagnosis and treatment of osteomyelitis involves a multidisciplinary approach including physical examination, imaging studies (X-ray, CT, MRI), laboratory tests (blood cultures, ESR, CRP), and potentially bone biopsy. Treatment may include antibiotic administration (IV or oral), surgical debridement (removal of infected bone), and pain management.Follow-up care is crucial for monitoring treatment response and preventing recurrence.
- Diseases of the musculoskeletal system and connective tissue (M00-M99)
- Osteopathies and chondropathies (M80-M94) > Other osteopathies (M86-M90)
In simple words: Osteomyelitis is a serious bone infection. It happens when germs get into your bone, causing pain, swelling, and redness.Doctors use antibiotics and sometimes surgery to treat it. It's important to get treatment quickly to avoid lasting bone damage.
Osteomyelitis is an infection and inflammation of bone tissue, typically caused by bacteria (commonly Staphylococcus aureus) or fungi.The infection can spread to the bone via the bloodstream (hematogenous), directly from a nearby infection (contiguous), or from an open wound.Symptoms can include bone pain, swelling, redness, warmth, fever, and fatigue. Diagnosis involves physical examination, imaging (X-ray, CT scan, MRI), blood tests (ESR, CRP, complete blood count), and sometimes a bone biopsy. Treatment usually involves antibiotics, possibly surgery to remove infected or dead bone (debridement), and supportive care.Chronic osteomyelitis may require prolonged treatment and may recur.
Example 1: A 10-year-old child presents with fever, pain in the left tibia, and swelling. Blood tests show elevated inflammatory markers. X-ray reveals bone destruction.Diagnosis: Acute hematogenous osteomyelitis of the left tibia. Treatment: IV antibiotics, pain management., A 65-year-old diabetic patient with a foot ulcer develops severe pain, swelling, and redness in the foot.Cultures reveal Staphylococcus aureus.Diagnosis: Chronic osteomyelitis of the foot. Treatment: Surgical debridement, long-term IV antibiotics, wound care, diabetes management., A 30-year-old intravenous drug user presents with back pain, fever, and fatigue. MRI reveals vertebral osteomyelitis.Diagnosis: Vertebral osteomyelitis. Treatment:Intravenous antibiotics, pain management, treatment for drug addiction.
Detailed history of present illness, including onset, duration, and character of symptoms.Physical examination notes including vital signs, assessment of affected area (pain, swelling, redness, warmth).Imaging studies (X-ray, CT scan, MRI) findings. Laboratory results (blood cultures, complete blood count, ESR, CRP).Results of any bone biopsies and cultures.Treatment plan (antibiotics prescribed, dosage, route of administration, duration) and response to treatment. Surgical notes if surgery performed.Follow-up care notes.
** Osteomyelitis can be acute or chronic.Chronic osteomyelitis is more difficult to treat and often requires a longer course of antibiotics and/or surgery.Patients with underlying conditions such as diabetes or immunocompromise are at higher risk of developing osteomyelitis.
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- Specialties:Orthopedics, Infectious Disease, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Emergency Room - Hospital, Ambulatory Surgical Center