M80 - Osteoporosis with current pathological fracture
ICD-10: | M80 |
Short Description: | Osteoporosis with current pathological fracture |
Long Description: | Osteoporosis with current pathological fracture |
Status: | Not Valid for Submission |
Version: | ICD-10-CM 2023 |
Code Classification: |
M80 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of osteoporosis with current pathological fracture. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Osteoporosis with current pathological fracture
Non-specific codes like M80 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for osteoporosis with current pathological fracture:
- NON-BILLABLE CODE - M80.0 for Age-related osteoporosis with current pathological fracture
- NON-BILLABLE CODE - M80.00 for Age-related osteoporosis with current pathological fracture, unspecified site
- NON-BILLABLE CODE - M80.01 for Age-related osteoporosis with current pathological fracture, shoulder
- NON-BILLABLE CODE - M80.02 for Age-related osteoporosis with current pathological fracture, humerus
- NON-BILLABLE CODE - M80.03 for Age-related osteoporosis with current pathological fracture, forearm
- NON-BILLABLE CODE - M80.04 for Age-related osteoporosis with current pathological fracture, hand
- NON-BILLABLE CODE - M80.05 for Age-related osteoporosis with current pathological fracture, femur
- NON-BILLABLE CODE - M80.06 for Age-related osteoporosis with current pathological fracture, lower leg
- NON-BILLABLE CODE - M80.07 for Age-related osteoporosis with current pathological fracture, ankle and foot
- NON-BILLABLE CODE - M80.08 for Age-related osteoporosis with current pathological fracture, vertebra(e)
- NON-BILLABLE CODE - M80.0A for Age-related osteoporosis with current pathological fracture, other site
- NON-BILLABLE CODE - M80.8 for Other osteoporosis with current pathological fracture
- NON-BILLABLE CODE - M80.80 for Other osteoporosis with current pathological fracture, unspecified site
- NON-BILLABLE CODE - M80.81 for Other osteoporosis with pathological fracture, shoulder
- NON-BILLABLE CODE - M80.82 for Other osteoporosis with current pathological fracture, humerus
- NON-BILLABLE CODE - M80.83 for Other osteoporosis with current pathological fracture, forearm
- NON-BILLABLE CODE - M80.84 for Other osteoporosis with current pathological fracture, hand
- NON-BILLABLE CODE - M80.85 for Other osteoporosis with current pathological fracture, femur
- NON-BILLABLE CODE - M80.86 for Other osteoporosis with current pathological fracture, lower leg
- NON-BILLABLE CODE - M80.87 for Other osteoporosis with current pathological fracture, ankle and foot
- NON-BILLABLE CODE - M80.88 for Other osteoporosis with current pathological fracture, vertebra(e)
- NON-BILLABLE CODE - M80.8A for Other osteoporosis with current pathological fracture, other site
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Includes
IncludesThis note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- osteoporosis with current fragility fracture
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code to identify major osseous defect, if applicable M89.7
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- personal history of healed osteoporosis fracture Z87.310
7th Character Note
7th Character NoteCertain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- The appropriate 7th character is to be added to each code from category M80:
7th Character
7th CharacterIndicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter for fracture
- D - subsequent encounter for fracture with routine healing
- G - subsequent encounter for fracture with delayed healing
- K - subsequent encounter for fracture with nonunion
- P - subsequent encounter for fracture with malunion
- S - sequela
Patient Education
Fractures
A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.
Symptoms of a fracture are:
- Intense pain
- Deformity - the limb looks out of place
- Swelling, bruising, or tenderness around the injury
- Numbness and tingling
- Problems moving a limb
You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.
[Learn More in MedlinePlus]
Osteoporosis
Osteoporosis is a disease that thins and weakens the bones. Your bones become fragile and fracture (break) easily, especially the bones in the hip, spine, and wrist. In the United States, millions of people either already have osteoporosis or are at high risk due to low bone mass.
Anyone can develop osteoporosis, but it is more common in older women. Risk factors include:
- Getting older
- Being small and thin
- Having a family history of osteoporosis
- Taking certain medicines
- Being a white or Asian woman
- Having low bone density
Osteoporosis is a silent disease. You might not know you have it until you break a bone. A bone mineral density test is the best way to check your bone health.
To keep bones strong, eat a diet rich in calcium and vitamin D, exercise, and do not smoke. If needed, medicines can also help. It is also important to try to avoid falling down. Falls are the number one cause of fractures in older adults.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)