2021 ICD-10-CM Code M80.01

Age-related osteoporosis with current pathological fracture, shoulder

Version 2021

Not Valid for Submission

M80.01 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of age-related osteoporosis with current pathological fracture, shoulder. The code is not specific and is NOT valid for the year 2021 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.

ICD-10:M80.01
Short Description:Age-related osteopor w current path fracture, shoulder
Long Description:Age-related osteoporosis with current pathological fracture, shoulder

Code Classification

Specific Coding for Age-related osteopor w current path fracture, shoulder

Non-specific codes like M80.01 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 age-related osteopor w current path fracture, shoulder:

  • NON-BILLABLE CODE - M80.011 for Age-related osteoporosis with current pathological fracture, right shoulder
  • BILLABLE CODE - Use M80.011A for initial encounter for fracture
  • BILLABLE CODE - Use M80.011D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use M80.011G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use M80.011K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use M80.011P for subsequent encounter for fracture with malunion
  • BILLABLE CODE - Use M80.011S for sequela
  • NON-BILLABLE CODE - M80.012 for Age-related osteoporosis with current pathological fracture, left shoulder
  • BILLABLE CODE - Use M80.012A for initial encounter for fracture
  • BILLABLE CODE - Use M80.012D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use M80.012G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use M80.012K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use M80.012P for subsequent encounter for fracture with malunion
  • BILLABLE CODE - Use M80.012S for sequela
  • NON-BILLABLE CODE - M80.019 for Age-related osteoporosis with current pathological fracture, unspecified shoulder
  • BILLABLE CODE - Use M80.019A for initial encounter for fracture
  • BILLABLE CODE - Use M80.019D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use M80.019G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use M80.019K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use M80.019P for subsequent encounter for fracture with malunion
  • BILLABLE CODE - Use M80.019S for sequela

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M80.01 are found in the index:

Information for Patients


Fractures

Also called: Broken bone

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

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 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

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]

Shoulder Injuries and Disorders

Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.

Because your shoulder can be unstable, it can be easily injured. Common problems include

Health care providers diagnose shoulder problems by using your medical history, a physical exam, and imaging tests.

Often, the first treatment for shoulder problems is RICE. This stands for Rest, Ice, Compression, and Elevation. Other treatments include exercise and medicines to reduce pain and swelling. If those don't work, you may need surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[Learn More in MedlinePlus]

Code History

  • 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)