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  6. 2024 ICD-10-CM Code M80
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code M80

Osteoporosis with current pathological fracture

ICD-10-CM Code:
M80
ICD-10 Code for:
Osteoporosis with current pathological fracture
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 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of osteoporosis with current pathological fracture. 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 Osteoporosis with current pathological fracture

Non-specific codes like M80 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 osteoporosis with current pathological fracture:

  • M80.0 for Age-related osteoporosis with current pathological fracture - NON-BILLABLE CODE

  • M80.00 for Age-related osteoporosis with current pathological fracture, unspecified site - NON-BILLABLE CODE

  • M80.01 for Age-related osteoporosis with current pathological fracture, shoulder - NON-BILLABLE CODE

  • M80.02 for Age-related osteoporosis with current pathological fracture, humerus - NON-BILLABLE CODE

  • M80.03 for Age-related osteoporosis with current pathological fracture, forearm - NON-BILLABLE CODE

  • M80.04 for Age-related osteoporosis with current pathological fracture, hand - NON-BILLABLE CODE

  • M80.05 for Age-related osteoporosis with current pathological fracture, femur - NON-BILLABLE CODE

  • M80.06 for Age-related osteoporosis with current pathological fracture, lower leg - NON-BILLABLE CODE

  • M80.07 for Age-related osteoporosis with current pathological fracture, ankle and foot - NON-BILLABLE CODE

  • M80.08 for Age-related osteoporosis with current pathological fracture, vertebra(e) - NON-BILLABLE CODE

  • M80.0A for Age-related osteoporosis with current pathological fracture, other site - NON-BILLABLE CODE

  • M80.0B for Age-related osteoporosis with current pathological fracture, pelvis - NON-BILLABLE CODE

  • M80.8 for Other osteoporosis with current pathological fracture - NON-BILLABLE CODE

  • M80.80 for Other osteoporosis with current pathological fracture, unspecified site - NON-BILLABLE CODE

  • M80.81 for Other osteoporosis with pathological fracture, shoulder - NON-BILLABLE CODE

  • M80.82 for Other osteoporosis with current pathological fracture, humerus - NON-BILLABLE CODE

  • M80.83 for Other osteoporosis with current pathological fracture, forearm - NON-BILLABLE CODE

  • M80.84 for Other osteoporosis with current pathological fracture, hand - NON-BILLABLE CODE

  • M80.85 for Other osteoporosis with current pathological fracture, femur - NON-BILLABLE CODE

  • M80.86 for Other osteoporosis with current pathological fracture, lower leg - NON-BILLABLE CODE

  • M80.87 for Other osteoporosis with current pathological fracture, ankle and foot - NON-BILLABLE CODE

  • M80.88 for Other osteoporosis with current pathological fracture, vertebra(e) - NON-BILLABLE CODE

  • M80.8A for Other osteoporosis with current pathological fracture, other site - NON-BILLABLE CODE

  • M80.8B for Other osteoporosis with current pathological fracture, pelvis - NON-BILLABLE CODE

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • osteoporosis with current fragility fracture

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • code to identify major osseous defect, if applicable M89.7

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • collapsed vertebra NOS M48.5
  • pathological fracture NOS M84.4
  • wedging of vertebra NOS M48.5

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • personal history of healed osteoporosis fracture Z87.310

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from category M80:

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter for fracture
  • D - subsequent encounter for fracture with routine healing
  • G - subsequent encounter for fracture with delayed healing
  • K - subsequent encounter for fracture with nonunion
  • P - subsequent encounter for fracture with malunion
  • S - sequela

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]

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.