ICD-10-CM Code M81

Osteoporosis without current pathological fracture

Version 2020 Non-Billable Code

Not Valid for Submission

M81 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of osteoporosis without current pathological fracture. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M81
Short Description:Osteoporosis without current pathological fracture
Long Description:Osteoporosis without current pathological fracture

Consider the following ICD-10 codes with a higher level of specificity:

  • M81.0 - Age-related osteoporosis without current pathological fracture
  • M81.6 - Localized osteoporosis [Lequesne]
  • M81.8 - Other osteoporosis without current pathological fracture

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M81:

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
  • personal history of healed osteoporosis fracture, if applicable Z87.310

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.
  • osteoporosis with current pathological fracture M80
  • Sudeck's atrophy M89.0

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Disorders of bone density and structure (M80-M85)
      • Osteoporosis without current pathological fracture (M81)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Osteoporosis

Osteoporosis is a disease that thins and weakens the bones. Your bones become fragile and 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


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