2027 ICD-10-CM Diagnosis Code M80.849POther osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion

ICD-10-CM Codes›M00–M99›M80-M85›M80

ICD-10-CM M80.849P
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M80.849P is a billable ICD-10-CM diagnosis code for other osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion. The 7th character P means subsequent encounter for fracture with malunion. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 564 through 566. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 5,561 closely related codes. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family and exempt from POA reporting. Coders also document this condition as osteoporotic fracture of hand. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pathological fracture, subsequent encounter.

Code Identity

ICD-10-CM Code
M80.849P
Billable Status
Yes — Valid for Submission
Code Describes
Other osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion
Short Description
Oth osteopor w crnt path fx, unsp hand, 7thP
Parent Code
M80.849
Other osteoporosis with current pathological fracture, unspecified hand

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM80-M85Disorders of bone density and structure
CategoryM80Osteoporosis with current pathological fracture
This CodeM80.849POther osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion

Code EditsBilling

Medicare Code Editor checks that affect claim validity for M80.849P.

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.

Present on Admission (POA)Billing

M80.849P is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Disorders of bone density and structure (M80-M85).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Osteoporotic fracture of hand
  • Secondary osteoporotic fracture of hand
  • Stress fracture of hand

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M80.849P: its own notes plus those printed at M80.8, M80, and Chapter 13. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From M80 Osteoporosis with current pathological fracture applies to 324 codes
  • osteoporosis with current fragility fracture

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From M80 Osteoporosis with current pathological fracture applies to 324 codes
  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From M80 Osteoporosis with current pathological fracture applies to 324 codes
  • personal history of (healed) osteoporosis fracture (Z87.310)
From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From M80.8 Other osteoporosis with current pathological fracture applies to 162 codes
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
From M80 Osteoporosis with current pathological fracture applies to 324 codes
  • code to identify major osseous defect, if applicable (M89.7-)

Notes

General instructions on how these codes are used.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From M80 Osteoporosis with current pathological fracture applies to 324 codes
  • The appropriate 7th character is to be added to each code from category M80:
Values for category M80 Pathological Fracture Encounter
  • Ainitial encounter for fracture
  • Dsubsequent encounter for fracture with routine healing
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • Psubsequent encounter for fracture with malunion this code
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name M80.849P, its category, or a range that includes it.

Excludes1 10

These codes carry an Excludes1 note naming M80.849P: they are not reported together with it, unless the two conditions are unrelated.

  • E55 Vitamin D deficiency
    osteoporosis (M80.-) names M80.-, which includes this code
  • E83.3 Disorders of phosphorus metabolism and phosphatases
    osteoporosis (M80.-) names M80.-, which includes this code
  • K91.2 Postsurgical malabsorption, not elsewhere classified
    malabsorption osteoporosis, postsurgical (M80.8-, M81.8) names M80.8-, which includes this code
  • M43 Other deforming dorsopathies
    spinal curvature in osteoporosis (M80.-) names M80.-, which includes this code
  • M48.4 Fatigue fracture of vertebra
    pathological fracture of vertebra due to osteoporosis (M80.-) names M80.-, which includes this code
  • M48.5 Collapsed vertebra, not elsewhere classified
    pathological fracture of vertebra due to osteoporosis (M80.-) names M80.-, which includes this code
  • M81 Osteoporosis without current pathological fracture
    osteoporosis with current pathological fracture (M80.-) names M80.-, which includes this code
  • M84.3 Stress fracture
    pathological fracture due to osteoporosis (M80.-) names M80.-, which includes this code
  • M84.4 Pathological fracture, not elsewhere classified
    pathological fracture in osteoporosis (M80.-) names M80.-, which includes this code
  • M84.6 Pathological fracture in other disease
    pathological fracture in osteoporosis (M80.-) names M80.-, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming M80.849P: its condition is not part of those codes, and both may be reported when the patient has both.

  • M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
    disorders associated with osteoporosis (M80) names M80, which includes this code
  • N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
    postoophorectomy osteoporosis with current pathological fracture (M80.8-) names M80.8-, which includes this code

Code First 1

These codes say to code first a condition named in the note, and M80.849P is one of the conditions named.

  • M89.7 Major osseous defect
    osteoporosis (M80.-, M81.-) names M80.-, which includes this code

Code Also 1

These codes say M80.849P may also be needed to fully describe the condition. The note gives no sequencing direction.

  • Z91.B Personal risk factor of exposure to diethylstilbestrol
    osteoporosis (M80.-) names M80.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS015
Pathological fracture, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M80.849P to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
733.81 Malunion of fracture
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About M80.849POverview

Is M80.849P a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character P in M80.849P mean?

The final character P reports a subsequent encounter where the other osteoporosis with current pathological fracture, unspecified hand has healed in a faulty position, called a malunion. In this category the CMS Tabular List defines P as "subsequent encounter for fracture with malunion".

What MS-DRG does M80.849P group to?

When other osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.

Is M80.849P a CC or MCC?

CMS lists M80.849P as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 5,561 closely related codes in its exclusion list.

Is M80.849P exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other osteoporosis with current pathological fracture, unspecified hand, subsequent encounter for fracture with malunion on inpatient claims. The code appears in the Disorders of bone density and structure (M80-M85) range of the CMS exempt list.