2026 ICD-10-CM Diagnosis Code M80.88XSOther osteoporosis with current pathological fracture, vertebra(e), sequela
ICD-10-CM Codes›M00–M99›M80-M85›M80
- Billable — Valid for Submission
- POA Exempt
- 7th Character S — Sequela
- Chronic Condition
M80.88XS is a billable ICD-10-CM diagnosis code for other osteoporosis with current pathological fracture, vertebra(e), sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 551 through 552. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pathological, stress and atypical fractures, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
M80.88XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
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 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 pelvis
- Stress fracture of sacrum
- Stress fracture of thoracic vertebra
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 M80.88XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M80.88XSOverview
Is M80.88XS a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other osteoporosis with current pathological fracture, vertebra(e), sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in M80.88XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the other osteoporosis with current pathological fracture, vertebra(e) itself has resolved, not the original event.
What MS-DRG does M80.88XS group to?
When other osteoporosis with current pathological fracture, vertebra(e), sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 551, 552, with relative weights from 0.9613 to 1.6761 depending on complications. Higher weights mean higher Medicare reimbursement.
Is M80.88XS 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), sequela on inpatient claims.
What is the ICD-9 equivalent of M80.88XS?
Under the General Equivalence Mappings, other osteoporosis with current pathological fracture, vertebra(e), sequela converts to ICD-9-CM 905.1 (late eff spine/trunk fx). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
