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Osteomyelitis A048

Last amended 
24 June 2015
Current RMA Instruments:         
Reasonable Hypothesis SOP
90 of 2014
Balance of Probabilities SOP
91 of 2014
Changes from Previous Instruments:

SOP Bulletin 178

ICD Coding:
  • ICD-9-CM Codes: 730.00-730.09, 730.10-730.19, 730.20-730.29, 730.80-730.89, 730.90-730.99, 526.4
  • ICD-10-AM Codes: M86, K10.2, M46.2, M90.2

This is an infection of the bone and bone marrow. The infection is usually from bacteria, mycobacterium or fungi. Infection occurs as a result of direct infection of the bone through a skin penetration or via blood borne spread from another bodily source of infection.

Is specific diagnostic evidence required to apply the SOP? - No.

The diagnosis is based on microbiological confirmation of the infection through microscopy, and culture. Imaging of the bone is suggestive but not definitive. The relevant medical specialist is infectious disease physician

Are there sub-factors that require specific diagnostic information? - No.
Additional diagnoses covered by SOP

· Brodie’s abscess

Conditions excluded from SOP
  • Isolated septic arthritis
  • Myelitis
  • Osteomalacia, ICD code 268.2
  • Osteonecrosis, ICD codes 733.4, 993.32
  • Osteopaenia, declared not a disease by RMA - NIF
  • Osteoporosis, ICD code 733.0
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.