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From the trek wiki:

'The nickname "Bones" is explained in the alternate reality as referring to that universe's McCoy describing his divorce to Kirk at their first meeting, his ex-wife having left him with only his bones as a result of the settlement.'

And for the original verse -

'Bones is short for "sawbones," also used by Kirk in "A Piece of the Action", an ancient description for a surgeon.'

...and from wikipedia:

The character's nickname, "Bones", is a play onsawbones, an epithet for physicians.
that is true but it also referred to a planet wide tragety which occured before he went to the academy. Don't get me wrong I totally agree with all the person above has said reference-wise. But in the Original Series the planet-wide epidemic was the reason for McCoy's nickname being bones.

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Q: Why is Dr McCoy named bones?
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