2021 ICD-10-CM Code M80.031S
Age-related osteoporosis with current pathological fracture, right forearm, sequela
Valid for Submission
M80.031S is a billable diagnosis code used to specify a medical diagnosis of age-related osteoporosis with current pathological fracture, right forearm, sequela. The code M80.031S is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code M80.031S might also be used to specify conditions or terms like pathological fracture of radius due to osteoporosis, pathological fracture of right radius, pathological fracture of right radius due to osteoporosis, pathological fracture of right ulna, pathological fracture of right ulna due to osteoporosis , pathological fracture of ulna due to osteoporosis, etc.
The code M80.031S is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.
M80.031S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like age-related osteoporosis with current pathological fracture right forearm. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
ICD-10: | M80.031S |
Short Description: | Age-rel osteopor w current path fracture, r forearm, sequela |
Long Description: | Age-related osteoporosis with current pathological fracture, right forearm, sequela |
Code Classification
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Adult diagnoses - The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Pathological fracture of radius due to osteoporosis
- Pathological fracture of right radius
- Pathological fracture of right radius due to osteoporosis
- Pathological fracture of right ulna
- Pathological fracture of right ulna due to osteoporosis
- Pathological fracture of ulna due to osteoporosis
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code M80.031S is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2021.
Convert M80.031S to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code M80.031S its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 905.2 - Late effect arm fx (Approximate Flag)
Information for Patients
Arm Injuries and Disorders
Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.
Types of arm injuries include
- Tendinitis and bursitis
- Sprains
- Dislocations
- Broken bones
- Nerve problems
- Osteoarthritis
You may also have problems or injure specific parts of your arm, such as your hand, wrist, elbow, or shoulder.
- Arm CT scan (Medical Encyclopedia)
- Brachial plexopathy (Medical Encyclopedia)
- Radial head fracture - aftercare (Medical Encyclopedia)
- Radial nerve dysfunction (Medical Encyclopedia)
[Learn More]
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
- 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.
- Broken bone (Medical Encyclopedia)
- Closed reduction of a fractured bone (Medical Encyclopedia)
- Closed reduction of a fractured bone - aftercare (Medical Encyclopedia)
[Learn More]
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
- 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
- Bone mineral density test (Medical Encyclopedia)
- Calcium, vitamin D, and your bones (Medical Encyclopedia)
- Exercise, lifestyle, and your bones (Medical Encyclopedia)
- Medicines for osteoporosis (Medical Encyclopedia)
- Osteoporosis (Medical Encyclopedia)
- What causes bone loss? (Medical Encyclopedia)
[Learn More]
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)