2027 ICD-10-CM Diagnosis Code M80.88XDOther osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing

ICD-10-CM Codes›M00–M99›M80-M85›M80

ICD-10-CM M80.88XD
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M80.88XD is a billable ICD-10-CM diagnosis code for other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing. The 7th character D means subsequent encounter for fracture with routine healing, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 559 through 561. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pathological fracture, subsequent encounter.

Code Identity

ICD-10-CM Code
M80.88XD
Billable Status
Yes — Valid for Submission
Code Describes
Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing
Short Description
Oth osteopor w crnt path fx, verteb, 7thD
Parent Code
M80.88
Other osteoporosis with current pathological fracture, vertebra(e)

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM80-M85Disorders of bone density and structure
CategoryM80Osteoporosis with current pathological fracture
This CodeM80.88XDOther osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing

Present on Admission (POA)Billing

M80.88XD 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 collapse of cervical vertebra
  • Osteoporotic collapse of lumbar vertebra
  • Osteoporotic collapse of thoracic vertebra
  • Osteoporotic fracture of cervical vertebra
  • Osteoporotic fracture of lumbar vertebra
  • Osteoporotic fracture of sacral vertebra
  • Osteoporotic fracture of thoracic vertebra
  • Osteoporotic vertebral collapse
  • Secondary osteoporotic fracture of cervical vertebra
  • Secondary osteoporotic fracture of lumbar vertebra
  • Secondary osteoporotic fracture of pelvis
  • Secondary osteoporotic fracture of sacral vertebra
  • Secondary osteoporotic fracture of thoracic vertebra
  • Secondary osteoporotic fracture of vertebra
  • Stress fracture of cervical vertebra
  • Stress fracture of lumbar vertebra
  • Stress fracture of sacrum
  • Stress fracture of thoracic vertebra

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M80.88XD: 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 this code
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • Psubsequent encounter for fracture with malunion
  • 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 M80.88XD, its category, or a range that includes it.

Excludes1 10

These codes carry an Excludes1 note naming M80.88XD: 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 M80.88XD: 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 M80.88XD 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 M80.88XD 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 M80.88XD to ICD-9-CMHistory

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

ICD-9-CM
V54.27 Aftrcare path fx vertebr
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 M80.88XDOverview

Is M80.88XD a billable code?

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

What does the 7th character D in M80.88XD mean?

The final character D marks a subsequent encounter: use it for routine care while the other osteoporosis with current pathological fracture, vertebra(e) is healing, after active treatment has ended. In this category the CMS Tabular List defines D as "subsequent encounter for fracture with routine healing".

What MS-DRG does M80.88XD group to?

When other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing is the principal diagnosis on an inpatient stay, it groups to MS-DRG 559, 561, 560, with relative weights from 0.8258 to 1.8087 depending on complications. Higher weights mean higher Medicare reimbursement.

Is M80.88XD 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, vertebra(e), subsequent encounter for fracture with routine healing on inpatient claims. The code appears in the Disorders of bone density and structure (M80-M85) range of the CMS exempt list.

Can M80.88XD be reported with M48.5?

Not as a rule. The Excludes1 note at M80, which applies to M80.88XD, lists "collapsed vertebra NOS (M48.5)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).