Valid for Submission
M80.0AXD is a billable diagnosis code used to specify a medical diagnosis of age-related osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing. The code M80.0AXD is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The code M80.0AXD 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.
M80.0AXD 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 other site for fracture with routine 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.
New 2021 ICD-10 Code
M80.0AXD 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
M800AXD replaces the following previously assigned ICD-10 code(s):