Version 2024

2024 ICD-10-CM Diagnosis Code M80.86

Other osteoporosis with current pathological fracture, lower leg

ICD-10-CM Code:
M80.86
ICD-10 Code for:
Oth osteoporosis w current pathological fracture, lower leg
Is Billable?
Not Valid for Submission
Code Navigator:

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)

M80.86 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other osteoporosis with current pathological fracture, lower leg. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Oth osteoporosis w current pathological fracture, lower leg

Non-specific codes like M80.86 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for oth osteoporosis w current pathological fracture, lower leg:

  • M80.861 for Other osteoporosis with current pathological fracture, right lower leg - NON-BILLABLE CODE

  • Use M80.861A for initial encounter for fracture - BILLABLE CODE

  • Use M80.861D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M80.861G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M80.861K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M80.861P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M80.861S for sequela - BILLABLE CODE

  • M80.862 for Other osteoporosis with current pathological fracture, left lower leg - NON-BILLABLE CODE

  • Use M80.862A for initial encounter for fracture - BILLABLE CODE

  • Use M80.862D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M80.862G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M80.862K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M80.862P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M80.862S for sequela - BILLABLE CODE

  • M80.869 for Other osteoporosis with current pathological fracture, unspecified lower leg - NON-BILLABLE CODE

  • Use M80.869A for initial encounter for fracture - BILLABLE CODE

  • Use M80.869D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M80.869G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M80.869K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M80.869P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M80.869S for sequela - BILLABLE CODE

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


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 in MedlinePlus]

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 (broken bones).

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 in MedlinePlus]

Osteoporosis

Osteoporosis is a disease that thins and weakens the bones. Your bones become fragile and fracture (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 in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.