Valid for Submission
M80.08XG is a billable diagnosis code used to specify a medical diagnosis of age-related osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with delayed healing. The code M80.08XG 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 M80.08XG might also be used to specify conditions or terms like pathological fracture of pelvis, pathological fracture of sacral vertebra, pathological fracture of sacral vertebra due to osteoporosis or pathological fracture of vertebra due to osteoporosis.
The code M80.08XG 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.
M80.08XG is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like age-related osteoporosis with current pathological fracture vertebra(e) for fracture with delayed healing. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
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 pelvis
- Pathological fracture of sacral vertebra
- Pathological fracture of sacral vertebra due to osteoporosis
- Pathological fracture of vertebra due to osteoporosis
Diagnostic Related Groups - MS-DRG Mapping
Convert M80.08XG to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code M80.08XG 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)
[Learn More in MedlinePlus]
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 in MedlinePlus]
Spine Injuries and Disorders
Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include
- Conditions, such as ankylosing spondylitis and scoliosis
- Bone changes that come with age, such as spinal stenosis and herniated disks
Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. They can also limit movement. Treatments differ by disease, but sometimes they include back braces and surgery.
- Compression fractures of the back (Medical Encyclopedia)
- Foraminotomy (Medical Encyclopedia)
- Kyphosis (Medical Encyclopedia)
- Laminectomy (Medical Encyclopedia)
- Lordosis (Medical Encyclopedia)
- Spinal fusion (Medical Encyclopedia)
- Spine surgery - discharge (Medical Encyclopedia)
- Spondylolisthesis (Medical Encyclopedia)
[Learn More in MedlinePlus]