Valid for Submission
M80.069S is a billable diagnosis code used to specify a medical diagnosis of age-related osteoporosis with current pathological fracture, unspecified lower leg, sequela. The code M80.069S 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 M80.069S might also be used to specify conditions or terms like pathological fracture of fibula, pathological fracture of fibula due to osteoporosis or pathological fracture of tibia due to osteoporosis.
The code M80.069S 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.
M80.069S 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 unspecified lower leg. 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.
Unspecified diagnosis codes like M80.069S are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Pathological fracture of fibula
- Pathological fracture of fibula due to osteoporosis
- Pathological fracture of tibia due to osteoporosis
Diagnostic Related Groups - MS-DRG Mapping
Convert M80.069S to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code M80.069S 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.
Information for Patients
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)
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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.
- Blount disease (Medical Encyclopedia)
- Bowlegs (Medical Encyclopedia)
- Common peroneal nerve dysfunction (Medical Encyclopedia)
- Femoral nerve dysfunction (Medical Encyclopedia)
- Femur fracture repair - discharge (Medical Encyclopedia)
- Foot, leg, and ankle swelling (Medical Encyclopedia)
- Iliotibial band syndrome -- aftercare (Medical Encyclopedia)
- Ischemic ulcers -- self-care (Medical Encyclopedia)
- Knock knees (Medical Encyclopedia)
- Leg pain (Medical Encyclopedia)
- Shin splints - self-care (Medical Encyclopedia)
- Tibial nerve dysfunction (Medical Encyclopedia)
- Venous insufficiency (Medical Encyclopedia)
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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)
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