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2025 ICD-10-CM code M86.471

Chronic osteomyelitis with draining sinus, right ankle and foot.

Use additional codes to identify the causative organism, any major osseous defects (M89.7-), and any related complications or comorbidities.If applicable, use an external cause code to indicate the cause of the osteomyelitis (e.g., following a fracture or surgery).

Medical necessity for treatment of chronic osteomyelitis with a draining sinus is established by the presence of a persistent infection and associated symptoms.Treatment aims to resolve the infection, alleviate symptoms, and prevent complications like bone destruction, sepsis, and amputation. Documentation should clearly link the diagnosis and treatment to the patient's signs, symptoms, and functional limitations.

Providers diagnose chronic osteomyelitis with draining sinus based on patient history, physical examination, imaging (X-ray, MRI, bone scan), laboratory tests (inflammatory markers like CRP, ESR, white blood cell count, and pus analysis), and potentially bone biopsy. Treatment includes antibiotics, pain medication, and possibly surgery.

In simple words: Chronic osteomyelitis with a draining sinus in your right ankle and foot means you have a long-lasting bone infection there. This infection creates a pathway (sinus tract) that drains pus out of the infected bone.

Chronic osteomyelitis with draining sinus tract of the right ankle and foot refers to longstanding bone inflammation due to infection with bacteria, fungi, or other infectious organisms. The infection may have spread to the bone from an open wound (such as a contaminated fracture), during surgery (such as joint replacement), or from a blood infection resulting in an abnormal passage from a bone abscess to the skin.

Example 1: A patient with a previous open fracture of the right ankle develops persistent drainage and pain despite initial antibiotic treatment. Imaging reveals bone destruction and a sinus tract, confirming chronic osteomyelitis., Following a right ankle joint replacement, a patient experiences ongoing wound drainage and swelling. Cultures identify bacteria, and imaging shows a sinus tract, indicating chronic osteomyelitis., An individual with a history of intravenous drug use presents with fever and right ankle pain. Blood cultures are positive for bacteria, and imaging reveals a bone abscess with a draining sinus tract in the ankle, diagnosed as chronic osteomyelitis.

Documentation should include evidence of chronic bone infection, the presence of a draining sinus tract in the right ankle and foot, the causative organism (if identified), imaging findings, laboratory results, treatment provided (including antibiotics and pain management), and any surgical interventions performed.

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