2024 ICD-10-CM Diagnosis Code M80.8B9A
Other osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture
- ICD-10-CM Code:
- M80.8B9A
- ICD-10 Code for:
- Other osteopor with current path fracture, unsp pelvis, init
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
M80.8B9A is a billable diagnosis code used to specify a medical diagnosis of other osteoporosis with current pathological fracture, unspecified pelvis, initial encounter for fracture. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
M80.8B9A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like other osteoporosis with current pathological fracture unspecified pelvis 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.
Unspecified diagnosis codes like M80.8B9A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
New 2024 ICD-10-CM Code
M80.8B9A 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).
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:
- Unspecified codes - Unspecified codes exist in the ICD-10-CM classification for circumstances when documentation in the medical record does not provide the level of detail needed to support reporting a more specific code. However, in the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported. The following pages contain the list of unspecified ICD-10-CM diagnosis codes for which there is a more specific code to identify laterality (right, left, bilateral) within that code family.
Replacement Code
M808B9A replaces the following previously assigned ICD-10-CM code(s):
- M80.80XA - Oth osteopor w current path fracture, unsp site, init
Code History
- FY 2024 - Code Added, effective from 10/1/2023 through 9/30/2024