2024 ICD-10-CM Diagnosis Code M80.8B2G
Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing
- ICD-10-CM Code:
- M80.8B2G
- ICD-10 Code for:
- Other osteopor with current path fracture, left pelvis, 7thG
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
M80.8B2G is a billable diagnosis code used to specify a medical diagnosis of other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
M80.8B2G is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like other osteoporosis with current pathological fracture left pelvis 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.
New 2024 ICD-10-CM Code
M80.8B2G is new to ICD-10-CM code set for the FY 2024, effective October 1, 2023. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This is a new and revised code for the FY 2024 (October 1, 2023 - September 30, 2024).
Present on Admission (POA)
M80.8B2G is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
| POA Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Replacement Code
M808B2G replaces the following previously assigned ICD-10-CM code(s):
- M80.8AXG - Other osteopor with current path fracture, other site, 7thG
Code History
- FY 2024 - Code Added, effective from 10/1/2023 through 9/30/2024