ICD-10-CM Code M80.059P

Age-related osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with malunion

Version 2020 Billable Code Adult Diagnoses

Valid for Submission

M80.059P is a billable code used to specify a medical diagnosis of age-related osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with malunion. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M80.059P might also be used to specify conditions or terms like pathological fracture of femur due to osteoporosis, pathological fracture of neck of femur, pathological fracture of neck of femur associated with osteoporosis, pathological fracture of proximal end of femur, pathological fracture of proximal end of femur, pathological fracture of proximal femur due to osteoporosis, etc

The code M80.059P 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.

ICD-10:	M80.059P
Short Description:	Age-rel osteopor w crnt path fx, unsp femr, 7thP
Long Description:	Age-related osteoporosis with current pathological fracture, unspecified femur, subsequent encounter for fracture with malunion

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 - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Pathological fracture of femur due to osteoporosis
Pathological fracture of neck of femur
Pathological fracture of neck of femur associated with osteoporosis
Pathological fracture of proximal end of femur
Pathological fracture of proximal end of femur
Pathological fracture of proximal femur due to osteoporosis

Diagnostic Related Groups

The ICD-10 code M80.059P is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Convert M80.059P to ICD-9

733.81 - Malunion of fracture (Approximate Flag)

Code Classification

Diseases of the musculoskeletal system and connective tissue (M00–M99)
- Disorders of bone density and structure (M80-M85)
  - Osteoporosis with current pathological fracture (M80)

Code History

FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
(First year ICD-10-CM implemented into the HIPAA code set)
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients

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]

Leg Injuries and Disorders

Your legs are made up of bones, blood vessels, muscles, and other connective tissue. They are important for motion and standing. Playing sports, running, falling, or having an accident can damage your legs. Common leg injuries include sprains and strains, joint dislocations, and fractures.

These injuries can affect the entire leg, or just the foot, ankle, knee, or hip. Certain diseases also lead to leg problems. For example, knee osteoarthritis, common in older people, can cause pain and limited motion. Problems in your veins in your legs can lead to varicose veins or deep vein thrombosis.

[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

[Learn More]

Previous Code: M80.059K

Related Codes

Next Code: M80.059S