Bone infection (osteomyelitis), chronic
| ICD10 Diagnosis | |
| Dx: | Bone infection (osteomyelitis), chronic |
| ICD10 code: | M86.6 |
| Pre-ICD10 counterpart: | Osteomyelitis |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Osteomyelitis Guideline
- For tuberculosis infection of the spine, use Spine, tuberculosis (Pott's disease)
CDC Case Definition of Osteomyelitis
Osteomyelitis must meet at least 1 of the following 3 criteria:
1. Patient has one or more pathogen identified from bone
2. Patient has evidence of osteomyelitis on gross anatomic or histopathologic exam
3. Patient has 2 or more of the following 5 signs or symptoms [fever>38.0, swelling, pain/tenderness, heat, drainage]
- AND
- has positive blood culture OR imaging test evidence suggestive of infection (for example, x-ray, CT scan, MRI, gallium scan, technetium scan)
Alternate ICD10s to consider coding instead or in addition
| Osteomyelitis codes: |
Candidate Combined ICD10 codes
Infections
Infections in ICD10 have combined coding requirements for some of their pathogens. Any that have antibiotic resistances would store those as Combined ICD10 codes as well. If the infection is acquired in the hospital, see Nosocomial infection, NOS. See Lab and culture reports for confirmation and details about tests. See Infections in ICD10 for more general info.
Possible Simultaneous Presence of Multiple Different Types of Infection in a Single Site
- This refers to the situation where there may be simultaneous infection with multiple types of organisms -- e.g. 2 of bacteria, virus, fungus. While a classic example is a proven viral pneumonia (e.g. influenza) with a suspected/possible bacterial pneumonia superimposed, this kind of thing can occur in places other than the lungs, e.g. meningitis.
- The "signature" of this is typically the patient being treated simultaneously with antimicrobial agents for multiple types of organisms. BUT don't confuse this with there being infections at DIFFERENT body sites.
- As per our usual practice, we will consider a diagnosis as present if the clinical team thinks it's present and are treating it, with the exception that the team initially treated for the possible 2nd type of infection but then decided it likely was NOT present and stopped those agents.
- And remember that Infectious organism, unknown is used when the the specific organism is unknown (this could be not knowing the TYPE of organism, or suspecting the type but not having identified the specific organism of that type), while when the organism has been identified but it's not in our bug list, THEN use Bacteria, NOS, Virus, NOS or Fungus or yeast, NOS.
Attribution of infections
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 Inf Infection req Pathogen must have one | CCMDB.accdb | implemented |
| Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | CCMDB.accdb | implemented |
Related Articles
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