ICD-10 M86.35
Non-Billable HeaderChronic multifocal osteomyelitis, femur
About ICD-10-CM M86.35
ICD-10-CM code M86.35 represents Chronic multifocal osteomyelitis, femur. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M86). The 2026 edition of ICD-10-CM M86.35 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for M86.35
Local Coverage Determinations (LCDs) from CMS MACs that list M86.35 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M86.35.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M86.35 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M86.35
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To M86.35
Other codes in section M86-M90 (Other osteopathies).
ICD-10 M86.35, Billing FAQ
Is ICD-10 code M86.35 billable? +
No, M86.35 is a non-billable header code. Use a more specific child code from block M86 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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