Valid for Submission
M80.0AXA is a billable diagnosis code used to specify a medical diagnosis of age-related osteoporosis with current pathological fracture, other site, initial encounter for fracture. The code M80.0AXA is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The code M80.0AXA 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.
M80.0AXA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like age-related osteoporosis with current pathological fracture other site for fracture. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
New 2021 ICD-10 Code
M80.0AXA is new to ICD-10 code set for the FY 2021, effective October 1, 2020. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2020. This is a new and revised code for the FY 2021 (October 1, 2020 - September 30, 2021).
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:
Diagnostic Related Groups - MS-DRG Mapping
M800AXA replaces the following previously assigned ICD-10 code(s):