M86-M90
Medium Complexity

Other osteopathies

Primary Specialty: Orthopedics
Last Updated: 2025-09-09

ICD-10 Codes (200)

199 billable
0 category headers
M87
Osteonecrosis
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M87.0
Billable
Idiopathic aseptic necrosis of bone
View
M87.00
Billable
Idiopathic aseptic necrosis of unspecified bone
View
M87.01
Billable
Idiopathic aseptic necrosis of shoulder
View
M87.011
Billable
Idiopathic aseptic necrosis of right shoulder
View
M87.012
Billable
Idiopathic aseptic necrosis of left shoulder
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M87.019
Billable
Idiopathic aseptic necrosis of unspecified shoulder
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M87.02
Billable
Idiopathic aseptic necrosis of humerus
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M87.021
Billable
Idiopathic aseptic necrosis of right humerus
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M87.022
Billable
Idiopathic aseptic necrosis of left humerus
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M87.029
Billable
Idiopathic aseptic necrosis of unspecified humerus
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M87.03
Billable
Idiopathic aseptic necrosis of radius, ulna and carpus
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M87.031
Billable
Idiopathic aseptic necrosis of right radius
View
M87.032
Billable
Idiopathic aseptic necrosis of left radius
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M87.033
Billable
Idiopathic aseptic necrosis of unspecified radius
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M87.034
Billable
Idiopathic aseptic necrosis of right ulna
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M87.035
Billable
Idiopathic aseptic necrosis of left ulna
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M87.036
Billable
Idiopathic aseptic necrosis of unspecified ulna
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M87.037
Billable
Idiopathic aseptic necrosis of right carpus
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M87.038
Billable
Idiopathic aseptic necrosis of left carpus
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M87.039
Billable
Idiopathic aseptic necrosis of unspecified carpus
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M87.04
Billable
Idiopathic aseptic necrosis of hand and fingers
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M87.041
Billable
Idiopathic aseptic necrosis of right hand
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M87.042
Billable
Idiopathic aseptic necrosis of left hand
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M87.043
Billable
Idiopathic aseptic necrosis of unspecified hand
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M87.044
Billable
Idiopathic aseptic necrosis of right finger(s)
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M87.045
Billable
Idiopathic aseptic necrosis of left finger(s)
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M87.046
Billable
Idiopathic aseptic necrosis of unspecified finger(s)
View
M87.05
Billable
Idiopathic aseptic necrosis of pelvis and femur
View
M87.050
Billable
Idiopathic aseptic necrosis of pelvis
View
M87.051
Billable
Idiopathic aseptic necrosis of right femur
View
M87.052
Billable
Idiopathic aseptic necrosis of left femur
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M87.059
Billable
Idiopathic aseptic necrosis of unspecified femur
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M87.06
Billable
Idiopathic aseptic necrosis of tibia and fibula
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M87.061
Billable
Idiopathic aseptic necrosis of right tibia
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M87.062
Billable
Idiopathic aseptic necrosis of left tibia
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M87.063
Billable
Idiopathic aseptic necrosis of unspecified tibia
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M87.064
Billable
Idiopathic aseptic necrosis of right fibula
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M87.065
Billable
Idiopathic aseptic necrosis of left fibula
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M87.066
Billable
Idiopathic aseptic necrosis of unspecified fibula
View
M87.07
Billable
Idiopathic aseptic necrosis of ankle, foot and toes
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M87.071
Billable
Idiopathic aseptic necrosis of right ankle
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M87.072
Billable
Idiopathic aseptic necrosis of left ankle
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M87.073
Billable
Idiopathic aseptic necrosis of unspecified ankle
View
M87.074
Billable
Idiopathic aseptic necrosis of right foot
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M87.075
Billable
Idiopathic aseptic necrosis of left foot
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M87.076
Billable
Idiopathic aseptic necrosis of unspecified foot
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M87.077
Billable
Idiopathic aseptic necrosis of right toe(s)
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M87.078
Billable
Idiopathic aseptic necrosis of left toe(s)
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M87.079
Billable
Idiopathic aseptic necrosis of unspecified toe(s)
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M87.08
Billable
Idiopathic aseptic necrosis of bone, other site
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M87.09
Billable
Idiopathic aseptic necrosis of bone, multiple sites
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M87.1
Billable
Osteonecrosis due to drugs
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M87.10
Billable
Osteonecrosis due to drugs, unspecified bone
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M87.11
Billable
Osteonecrosis due to drugs, shoulder
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M87.111
Billable
Osteonecrosis due to drugs, right shoulder
View
M87.112
Billable
Osteonecrosis due to drugs, left shoulder
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M87.119
Billable
Osteonecrosis due to drugs, unspecified shoulder
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M87.12
Billable
Osteonecrosis due to drugs, humerus
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M87.121
Billable
Osteonecrosis due to drugs, right humerus
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M87.122
Billable
Osteonecrosis due to drugs, left humerus
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M87.129
Billable
Osteonecrosis due to drugs, unspecified humerus
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M87.13
Billable
Osteonecrosis due to drugs of radius, ulna and carpus
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M87.131
Billable
Osteonecrosis due to drugs of right radius
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M87.132
Billable
Osteonecrosis due to drugs of left radius
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M87.133
Billable
Osteonecrosis due to drugs of unspecified radius
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M87.134
Billable
Osteonecrosis due to drugs of right ulna
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M87.135
Billable
Osteonecrosis due to drugs of left ulna
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M87.136
Billable
Osteonecrosis due to drugs of unspecified ulna
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M87.137
Billable
Osteonecrosis due to drugs of right carpus
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M87.138
Billable
Osteonecrosis due to drugs of left carpus
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M87.139
Billable
Osteonecrosis due to drugs of unspecified carpus
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M87.14
Billable
Osteonecrosis due to drugs, hand and fingers
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M87.141
Billable
Osteonecrosis due to drugs, right hand
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M87.142
Billable
Osteonecrosis due to drugs, left hand
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M87.143
Billable
Osteonecrosis due to drugs, unspecified hand
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M87.144
Billable
Osteonecrosis due to drugs, right finger(s)
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M87.145
Billable
Osteonecrosis due to drugs, left finger(s)
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M87.146
Billable
Osteonecrosis due to drugs, unspecified finger(s)
View
M87.15
Billable
Osteonecrosis due to drugs, pelvis and femur
View
M87.150
Billable
Osteonecrosis due to drugs, pelvis
View
M87.151
Billable
Osteonecrosis due to drugs, right femur
View
M87.152
Billable
Osteonecrosis due to drugs, left femur
View
M87.159
Billable
Osteonecrosis due to drugs, unspecified femur
View
M87.16
Billable
Osteonecrosis due to drugs, tibia and fibula
View
M87.161
Billable
Osteonecrosis due to drugs, right tibia
View
M87.162
Billable
Osteonecrosis due to drugs, left tibia
View
M87.163
Billable
Osteonecrosis due to drugs, unspecified tibia
View
M87.164
Billable
Osteonecrosis due to drugs, right fibula
View
M87.165
Billable
Osteonecrosis due to drugs, left fibula
View
M87.166
Billable
Osteonecrosis due to drugs, unspecified fibula
View
M87.17
Billable
Osteonecrosis due to drugs, ankle, foot and toes
View
M87.171
Billable
Osteonecrosis due to drugs, right ankle
View
M87.172
Billable
Osteonecrosis due to drugs, left ankle
View
M87.173
Billable
Osteonecrosis due to drugs, unspecified ankle
View
M87.174
Billable
Osteonecrosis due to drugs, right foot
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M87.175
Billable
Osteonecrosis due to drugs, left foot
View
M87.176
Billable
Osteonecrosis due to drugs, unspecified foot
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M87.177
Billable
Osteonecrosis due to drugs, right toe(s)
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M87.178
Billable
Osteonecrosis due to drugs, left toe(s)
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M87.179
Billable
Osteonecrosis due to drugs, unspecified toe(s)
View
M87.18
Billable
Osteonecrosis due to drugs, other site
View
M87.180
Billable
Osteonecrosis due to drugs, jaw
View
M87.188
Billable
Osteonecrosis due to drugs, other site
View
M87.19
Billable
Osteonecrosis due to drugs, multiple sites
View
M87.2
Billable
Osteonecrosis due to previous trauma
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M87.20
Billable
Osteonecrosis due to previous trauma, unspecified bone
View
M87.21
Billable
Osteonecrosis due to previous trauma, shoulder
View
M87.211
Billable
Osteonecrosis due to previous trauma, right shoulder
View
M87.212
Billable
Osteonecrosis due to previous trauma, left shoulder
View
M87.219
Billable
Osteonecrosis due to previous trauma, unspecified shoulder
View
M87.22
Billable
Osteonecrosis due to previous trauma, humerus
View
M87.221
Billable
Osteonecrosis due to previous trauma, right humerus
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M87.222
Billable
Osteonecrosis due to previous trauma, left humerus
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M87.229
Billable
Osteonecrosis due to previous trauma, unspecified humerus
View
M87.23
Billable
Osteonecrosis due to previous trauma of radius, ulna and carpus
View
M87.231
Billable
Osteonecrosis due to previous trauma of right radius
View
M87.232
Billable
Osteonecrosis due to previous trauma of left radius
View
M87.233
Billable
Osteonecrosis due to previous trauma of unspecified radius
View
M87.234
Billable
Osteonecrosis due to previous trauma of right ulna
View
M87.235
Billable
Osteonecrosis due to previous trauma of left ulna
View
M87.236
Billable
Osteonecrosis due to previous trauma of unspecified ulna
View
M87.237
Billable
Osteonecrosis due to previous trauma of right carpus
View
M87.238
Billable
Osteonecrosis due to previous trauma of left carpus
View
M87.239
Billable
Osteonecrosis due to previous trauma of unspecified carpus
View
M87.24
Billable
Osteonecrosis due to previous trauma, hand and fingers
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M87.241
Billable
Osteonecrosis due to previous trauma, right hand
View
M87.242
Billable
Osteonecrosis due to previous trauma, left hand
View
M87.243
Billable
Osteonecrosis due to previous trauma, unspecified hand
View
M87.244
Billable
Osteonecrosis due to previous trauma, right finger(s)
View
M87.245
Billable
Osteonecrosis due to previous trauma, left finger(s)
View
M87.246
Billable
Osteonecrosis due to previous trauma, unspecified finger(s)
View
M87.25
Billable
Osteonecrosis due to previous trauma, pelvis and femur
View
M87.250
Billable
Osteonecrosis due to previous trauma, pelvis
View
M87.251
Billable
Osteonecrosis due to previous trauma, right femur
View
M87.252
Billable
Osteonecrosis due to previous trauma, left femur
View
M87.256
Billable
Osteonecrosis due to previous trauma, unspecified femur
View
M87.26
Billable
Osteonecrosis due to previous trauma, tibia and fibula
View
M87.261
Billable
Osteonecrosis due to previous trauma, right tibia
View
M87.262
Billable
Osteonecrosis due to previous trauma, left tibia
View
M87.263
Billable
Osteonecrosis due to previous trauma, unspecified tibia
View
M87.264
Billable
Osteonecrosis due to previous trauma, right fibula
View
M87.265
Billable
Osteonecrosis due to previous trauma, left fibula
View
M87.266
Billable
Osteonecrosis due to previous trauma, unspecified fibula
View
M87.27
Billable
Osteonecrosis due to previous trauma, ankle, foot and toes
View
M87.271
Billable
Osteonecrosis due to previous trauma, right ankle
View
M87.272
Billable
Osteonecrosis due to previous trauma, left ankle
View
M87.273
Billable
Osteonecrosis due to previous trauma, unspecified ankle
View
M87.274
Billable
Osteonecrosis due to previous trauma, right foot
View
M87.275
Billable
Osteonecrosis due to previous trauma, left foot
View
M87.276
Billable
Osteonecrosis due to previous trauma, unspecified foot
View
M87.277
Billable
Osteonecrosis due to previous trauma, right toe(s)
View
M87.278
Billable
Osteonecrosis due to previous trauma, left toe(s)
View
M87.279
Billable
Osteonecrosis due to previous trauma, unspecified toe(s)
View
M87.28
Billable
Osteonecrosis due to previous trauma, other site
View
M87.29
Billable
Osteonecrosis due to previous trauma, multiple sites
View
M87.3
Billable
Other secondary osteonecrosis
View
M87.30
Billable
Other secondary osteonecrosis, unspecified bone
View
M87.31
Billable
Other secondary osteonecrosis, shoulder
View
M87.311
Billable
Other secondary osteonecrosis, right shoulder
View
M87.312
Billable
Other secondary osteonecrosis, left shoulder
View
M87.319
Billable
Other secondary osteonecrosis, unspecified shoulder
View
M87.32
Billable
Other secondary osteonecrosis, humerus
View
M87.321
Billable
Other secondary osteonecrosis, right humerus
View
M87.322
Billable
Other secondary osteonecrosis, left humerus
View
M87.329
Billable
Other secondary osteonecrosis, unspecified humerus
View
M87.33
Billable
Other secondary osteonecrosis of radius, ulna and carpus
View
M87.331
Billable
Other secondary osteonecrosis of right radius
View
M87.332
Billable
Other secondary osteonecrosis of left radius
View
M87.333
Billable
Other secondary osteonecrosis of unspecified radius
View
M87.334
Billable
Other secondary osteonecrosis of right ulna
View
M87.335
Billable
Other secondary osteonecrosis of left ulna
View
M87.336
Billable
Other secondary osteonecrosis of unspecified ulna
View
M87.337
Billable
Other secondary osteonecrosis of right carpus
View
M87.338
Billable
Other secondary osteonecrosis of left carpus
View
M87.339
Billable
Other secondary osteonecrosis of unspecified carpus
View
M87.34
Billable
Other secondary osteonecrosis, hand and fingers
View
M87.341
Billable
Other secondary osteonecrosis, right hand
View
M87.342
Billable
Other secondary osteonecrosis, left hand
View
M87.343
Billable
Other secondary osteonecrosis, unspecified hand
View
M87.344
Billable
Other secondary osteonecrosis, right finger(s)
View
M87.345
Billable
Other secondary osteonecrosis, left finger(s)
View
M87.346
Billable
Other secondary osteonecrosis, unspecified finger(s)
View
M87.35
Billable
Other secondary osteonecrosis, pelvis and femur
View
M87.350
Billable
Other secondary osteonecrosis, pelvis
View
M87.351
Billable
Other secondary osteonecrosis, right femur
View
M87.352
Billable
Other secondary osteonecrosis, left femur
View
M87.353
Billable
Other secondary osteonecrosis, unspecified femur
View
M87.36
Billable
Other secondary osteonecrosis, tibia and fibula
View
M87.361
Billable
Other secondary osteonecrosis, right tibia
View
M87.362
Billable
Other secondary osteonecrosis, left tibia
View
M87.363
Billable
Other secondary osteonecrosis, unspecified tibia
View
M87.364
Billable
Other secondary osteonecrosis, right fibula
View
M87.365
Billable
Other secondary osteonecrosis, left fibula
View
M87.366
Billable
Other secondary osteonecrosis, unspecified fibula
View
M87.37
Billable
Other secondary osteonecrosis, ankle and foot
View
M87.371
Billable
Other secondary osteonecrosis, right ankle
View
M87.372
Billable
Other secondary osteonecrosis, left ankle
View
M87.373
Billable
Other secondary osteonecrosis, unspecified ankle
View
M87.374
Billable
Other secondary osteonecrosis, right foot
View

Updates & Changes

FY 2026 Updates

Current Year

Deleted Codes

No codes deleted in this range for FY 2026

No significant changes for FY 2026

This range maintains stability with current coding practices

Historical Changes

  • •FY 2025: Routine maintenance updates with minor terminology clarifications
  • •FY 2024: Enhanced specificity requirements for certain code ranges
  • •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

  • •Proposed updates pending review by Coordination and Maintenance Committee
  • •Under consideration: Enhanced digital health integration codes

Implementation Guidance

  • •Review all FY 2026 updates for M86-M90 codes before implementation
  • •Always verify the most current codes in the ICD-10-CM manual
  • •Ensure clinical documentation supports the selected diagnosis codes
  • +3 more guidance items...

Range Overview

high priority

The ICD-10 code range M86-M90 pertains to 'Other Osteopathies.' This range includes codes for various types of osteopathies, such as pyogenic osteomyelitis, osteitis deformans, and osteonecrosis. These codes are used to document specific types of bone diseases and disorders that are not classified elsewhere. The codes are specific and detailed, allowing for accurate documentation of the patient's condition.

Key Usage Points:

  • •M86 codes are used for different types of osteomyelitis.
  • •M87 codes are for osteonecrosis, with subcategories for cause and location.
  • •M88 is used for Paget's disease of bone (osteitis deformans).
  • •M89 covers other disorders of bone, including fibrous dysplasia and algoneurodystrophy.
  • •M90 is for osteopathies in diseases classified elsewhere.

Coding Guidelines

When to Use:

  • ✓When a patient is diagnosed with osteomyelitis.
  • ✓When a patient has osteonecrosis due to trauma or other causes.
  • ✓When a patient is diagnosed with Paget's disease of bone.
  • ✓When a patient has a bone disorder not classified elsewhere.
  • ✓When a patient has an osteopathy due to a disease classified elsewhere.

When NOT to Use:

  • ✗When the patient's condition is better represented by another code.
  • ✗When the patient's bone disorder is due to a neoplasm.
  • ✗When the patient's condition is due to a congenital anomaly.
  • ✗When the patient's condition is due to a metabolic disorder.

Code Exclusions

Always verify exclusions with the patient's specific condition and the latest ICD-10 guidelines.

Documentation Requirements

Documentation for codes in the M86-M90 range should be detailed and specific. It should clearly state the type of osteopathy, its cause if known, and its location. Any complications or related conditions should also be documented.

Clinical Information:

  • •Type of osteopathy
  • •Cause of osteopathy, if known
  • •Location of osteopathy
  • •Any complications or related conditions

Supporting Evidence:

  • •Diagnostic tests
  • •Imaging results
  • •Clinical notes
  • •Referral letters
Good Documentation Example:

Patient diagnosed with osteonecrosis of the right hip due to trauma. MRI confirms diagnosis.

Poor Documentation Example:

Patient has a bone problem.

Common Documentation Errors:

  • âš Not specifying the type of osteopathy
  • âš Not documenting the cause of the osteopathy
  • âš Not specifying the location of the osteopathy
  • âš Not documenting complications or related conditions

Range Statistics

Total Codes
199
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:13

Coding Complexity

Medium
Complexity Rating

The complexity of coding in this range is medium due to the need for specific and detailed documentation. The coder must accurately identify the type of osteopathy, its cause, and its location. Complications and related conditions must also be documented.

Key Factors:
  • â–¸Determining the specific type of osteopathy
  • â–¸Identifying the cause of the osteopathy
  • â–¸Specifying the location of the osteopathy
  • â–¸Documenting complications or related conditions

Specialty Focus

These codes are most commonly used in orthopedics, rheumatology, and endocrinology. They may also be used in general practice and internal medicine.

Primary Specialties:
Orthopedics
50%
Rheumatology
30%
Endocrinology
20%
Clinical Scenarios:
  • • A patient with osteomyelitis due to a recent surgery.
  • • A patient with osteonecrosis of the jaw due to bisphosphonate therapy.
  • • A patient with Paget's disease of bone presenting with bone pain.
  • • A patient with fibrous dysplasia presenting with a pathologic fracture.
  • • A patient with osteopathy due to rheumatoid arthritis.

Resources & References

Resources for these codes include the official ICD-10 guidelines, clinical reference books, and educational materials on osteopathies.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • World Health Organization's ICD-10 guidelines

Clinical References:

  • Harrison's Principles of Internal Medicine
  • Oxford Textbook of Rheumatology

Educational Materials:

  • American Academy of Orthopaedic Surgeons educational resources
  • American College of Rheumatology educational resources

Frequently Asked Questions

Can M86-M90 codes be used for bone disorders due to neoplasms?

No, bone disorders due to neoplasms should be coded with C40-C41.