2027 ICD-10-CM Diagnosis Code M80Osteoporosis with current pathological fracture

ICD-10-CM Codes›M00–M99›M80-M85›M80

ICD-10-CM M80
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M80 is a non-billable ICD-10-CM category code for osteoporosis with current pathological fracture, so it cannot be submitted on claims. Use a more specific code from this category instead, such as M80.00XA, M80.00XD, M80.00XG, and M80.00XK.

Code Identity

ICD-10-CM Code
M80
Billable Status
No — Non-Billable Category
Code Describes
Osteoporosis with current pathological fracture
Short Description
Osteoporosis with current pathological fracture
Same as the full description in the CMS dataset.
Chapter
M80-M85
Disorders of bone density and structure

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM80-M85Disorders of bone density and structure
CategoryM80Osteoporosis with current pathological fracture
This CodeM80Osteoporosis with current pathological fracture

Specific Coding for Osteoporosis with current pathological fractureOverview

Non-specific codes like M80 require more characters. Use one of these billable codes instead:

  • M80.0 for Age-related osteoporosis with current pathological fracture

  • M80.00 for Age-related osteoporosis with current pathological fracture, unspecified site

  • M80.01 for Age-related osteoporosis with current pathological fracture, shoulder

  • M80.02 for Age-related osteoporosis with current pathological fracture, humerus

  • M80.03 for Age-related osteoporosis with current pathological fracture, forearm

  • M80.04 for Age-related osteoporosis with current pathological fracture, hand

  • M80.05 for Age-related osteoporosis with current pathological fracture, femur

  • M80.06 for Age-related osteoporosis with current pathological fracture, lower leg

  • M80.07 for Age-related osteoporosis with current pathological fracture, ankle and foot

  • M80.08 for Age-related osteoporosis with current pathological fracture, vertebra(e)

  • M80.0A for Age-related osteoporosis with current pathological fracture, other site

  • M80.0B for Age-related osteoporosis with current pathological fracture, pelvis

  • M80.8 for Other osteoporosis with current pathological fracture

  • M80.80 for Other osteoporosis with current pathological fracture, unspecified site

  • M80.81 for Other osteoporosis with pathological fracture, shoulder

  • M80.82 for Other osteoporosis with current pathological fracture, humerus

  • M80.83 for Other osteoporosis with current pathological fracture, forearm

  • M80.84 for Other osteoporosis with current pathological fracture, hand

  • M80.85 for Other osteoporosis with current pathological fracture, femur

  • M80.86 for Other osteoporosis with current pathological fracture, lower leg

  • M80.87 for Other osteoporosis with current pathological fracture, ankle and foot

  • M80.88 for Other osteoporosis with current pathological fracture, vertebra(e)

  • M80.8A for Other osteoporosis with current pathological fracture, other site

  • M80.8B for Other osteoporosis with current pathological fracture, pelvis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M80: its own notes plus those printed at Chapter 13. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

  • osteoporosis with current fragility fracture

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On M80 itself
  • personal history of (healed) osteoporosis fracture (Z87.310)
From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

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

Notes

General instructions on how these codes are used.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

  • The appropriate 7th character is to be added to each code from category M80:
Values for category M80 Pathological Fracture Encounter
  • Ainitial encounter for fracture
  • Dsubsequent encounter for fracture with routine healing
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • Psubsequent encounter for fracture with malunion
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name M80, its category, or a range that includes it.

Excludes1 9

These codes carry an Excludes1 note naming M80: they are not reported together with it, unless the two conditions are unrelated.

  • E55 Vitamin D deficiency
    osteoporosis (M80.-)
  • E83.3 Disorders of phosphorus metabolism and phosphatases
    osteoporosis (M80.-)
  • M43 Other deforming dorsopathies
    spinal curvature in osteoporosis (M80.-)
  • M48.4 Fatigue fracture of vertebra
    pathological fracture of vertebra due to osteoporosis (M80.-)
  • M48.5 Collapsed vertebra, not elsewhere classified
    pathological fracture of vertebra due to osteoporosis (M80.-)
  • M81 Osteoporosis without current pathological fracture
    osteoporosis with current pathological fracture (M80.-)
  • M84.3 Stress fracture
    pathological fracture due to osteoporosis (M80.-)
  • M84.4 Pathological fracture, not elsewhere classified
    pathological fracture in osteoporosis (M80.-)
  • M84.6 Pathological fracture in other disease
    pathological fracture in osteoporosis (M80.-)

Excludes2 1

These codes carry an Excludes2 note naming M80: its condition is not part of those codes, and both may be reported when the patient has both.

  • M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
    disorders associated with osteoporosis (M80)

Code First 1

These codes say to code first a condition named in the note, and M80 is one of the conditions named.

  • M89.7 Major osseous defect
    osteoporosis (M80.-, M81.-)

Code Also 1

These codes say M80 may also be needed to fully describe the condition. The note gives no sequencing direction.

  • Z91.B Personal risk factor of exposure to diethylstilbestrol
    osteoporosis (M80.-)

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About M80Overview

What is the ICD-10 code for osteoporosis with current pathological fracture?

M80 is the ICD-10-CM category for osteoporosis with current pathological fracture, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is M80 (Osteoporosis with current pathological fracture) a billable code?

No. This is a category header that groups the codes for osteoporosis with current pathological fracture, and headers cannot be submitted on claims. Claims for osteoporosis with current pathological fracture need a more specific code from this category, such as M80.00XA, M80.00XD, and M80.00XG.

Can M80 be reported with M48.5?

Not as a rule. The Excludes1 note on M80 lists "collapsed vertebra NOS (M48.5)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

Does M80 need an additional code?

When the condition applies, yes. The Use Additional Code note reads: code to identify major osseous defect, if applicable (M89.7-). The additional code is reported after M80.