ICD 10 CM M86.33 | Description & Clinical Information

ICD 10 M86.33 describes a chronic multifocal osteomyelitis of the radius and ulna, which is a medical condition characterized by an autoinflammatory response resulting from either a genetic mutation or an autoimmune disorder, and is not caused by any pathogens or autoantibodies, and is most commonly observed in children and adolescents.

Official Description Of M86.33

The ICD 10 CM book defines ICD 10 code M86.33 as:

When To Use M86.33

The diagnosis describes by the ICD 10 CM M86.33 code is chronic multifocal osteomyelitis of the radius and ulna. This specific condition can result in patients experiencing a range of symptoms, including pain, tenderness, and swelling. A slow growth rate may also be present in children who are affected by this condition, while multiple bone lesions can develop in the affected area, accompanied by fever. Over time, the condition can cause permanent bone deformity that can be very challenging to treat.

To diagnose chronic multifocal osteomyelitis, healthcare providers rely on the patient’s clinical history and a thorough physical examination. In addition to these initial steps, the provider may also turn to diagnostic imaging modalities like X-rays, ultrasounds, magnetic resonance imaging (MRI) or bone scans. A laboratory examination of the blood for inflammatory markers such as the C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), white blood cells, and antinuclear antibodies, may also provide insight into the condition. If necessary, the provider may perform a bone biopsy or genetic tests to gather more information and confirm the final diagnosis.

Although there is not a cure for chronic multifocal osteomyelitis, the condition is typically manageable with appropriate treatment. The treatment options available may depend on the severity of the symptoms and the affected area’s location, and they can include a range of medications like nonsteroidal anti-inflammatory drugs (NSAIDs), bisphosphonates, and steroids. Physical therapy can also be helpful in managing the symptoms and preventing further deformity.

Managing chronic multifocal osteomyelitis requires a collaborative effort from both the patient and the healthcare team to accomplish the best outcomes possible. Medical coders who review the patient’s records should pay close attention to the specific treatment approaches used for managing this condition, including medications, imaging studies and diagnostic tests that were ordered. Adhering to the proper coding guidelines and staying up to date with the most recent coding changes will be essential to ensure accurate coding practices and optimal outcomes for the patient.