M86.461Chronic osteomyelitis with draining sinus, right tibia and fibula

M86.461 is the ICD-10-CM diagnosis code for chronic osteomyelitis with draining sinus, right tibia and fibula. It belongs to category M86 (osteomyelitis), block M86-M90 (other osteopathies) and chapter 13 (diseases of the musculoskeletal system and connective tissue). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within M86.46 (chronic osteomyelitis with draining sinus, tibia and fibula), M86.461 is specifically for chronic osteomyelitis with draining sinus, right tibia and fibula. Related codes cover left tibia and fibula (M86.462) and unspecified tibia and fibula (M86.469).

Use an additional code (B95-B97) to identify infectious agent. Use an additional code to identify major osseous defect, if applicable (M89.7-).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 400 (Knee Procedures with Principal Diagnosis of Infection, relative weight 2.0248), DRG 539 (Osteomyelitis with MCC, relative weight 1.9385), DRG 540 (Osteomyelitis with CC, relative weight 1.3079) and DRG 541 (Osteomyelitis without CC/MCC, relative weight 0.8297), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 730.16 (chronic osteomyelitis, lower leg).