ICD 10 CM M86.341 | Description & Clinical Information

ICD 10 M86.341 describes a chronic and multifocal inflammation of the bone tissue in the right hand, which is caused by an autoinflammatory disease resulting from a genetic mutation or autoimmune disorder, and is characterized by the absence of pathogens and autoantibodies, with a higher incidence in children and adolescents.

Official Description Of M86.341

The ICD 10 CM book defines ICD 10 code M86.341 as:

Chronic multifocal osteomyelitis, right hand
Parent Code Notes: M86

Excludes1: osteomyelitis due to:
echinococcus (B67.2)
gonococcus (A54.43)
salmonella (A02.24)

Excludes2: ostemyelitis of:
orbit (H05.0-)
petrous bone (H70.2-)
vertebra (M46.2-)

Use additional code to identify major osseous defect, if applicable (M89.7-)

When To Use M86.341

The diagnosis described by the ICD-10-CM M86.341 code is chronic multifocal osteomyelitis of the right hand. This condition affects the bone, causing symptoms such as pain, tenderness and swelling in the affected area. Many patients with this condition experience slow growth during childhood and multiple lesions in the bone. As the condition progresses, it can also cause fever and eventually result in permanent bone deformity.

Healthcare providers typically use a combination of methods to diagnose chronic multifocal osteomyelitis of the hand. A thorough physical examination and review of the patient’s medical history is usually the first step. Imaging techniques such as X-ray, ultrasound, magnetic resonance imaging (MRI), or bone scans may also be used to detect the presence of bone lesions.

In addition, routine blood tests measuring inflammatory markers such as C-reactive protein, erythrocyte sedimentation rate (ESR), or white blood cells, and antinuclear antibodies may be conducted to help diagnose the condition. There may be cases in which a bone biopsy or genetic testing is also necessary to confirm the diagnosis.

Treatment options for chronic multifocal osteomyelitis of the hand focus on managing the symptoms and preventing the condition from progressing further. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), bisphosphonates, steroids, and physical therapy may be administered to help alleviate pain and discomfort, reduce inflammation and enhance bone function.

NSAIDs such as aspirin or ibuprofen can provide relief from pain and inflammation. Bisphosphonates such as alendronate, risedronate, and pamidronate, are drugs that help contribute to bone health by controlling the rate of bone loss. Corticosteroids such as prednisone and methylprednisolone may be prescribed to help manage inflammation and provide pain relief. Physical therapy can also be prescribed to improve bone strength, range of motion, and reduce muscle stiffness.

In conclusion, chronic multifocal osteomyelitis of the hand can be a serious condition, but with appropriate diagnosis and management by healthcare providers, patients can successfully manage the symptoms and prevent further deterioration of the bone. If you are experiencing the symptoms described in this article, seek medical attention to receive prompt diagnosis and treatment to manage your condition effectively.

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