ICD-10-CM Code M81.0

Age-related osteoporosis without current pathological fracture

Version 2020 Billable Code Adult Diagnoses

Valid for Submission

M81.0 is a billable code used to specify a medical diagnosis of age-related osteoporosis without current pathological fracture. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M81.0 might also be used to specify conditions or terms like femoral neck dual energy x-ray photon absorptiometry scan result osteoporotic, forearm dxa scan result osteoporotic, heel dxa scan result osteoporotic, hip dxa scan result osteoporotic, lumbar dxa scan result osteoporotic, menopausal osteoporosis, etc

The code M81.0 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

ICD-10:M81.0
Short Description:Age-related osteoporosis w/o current pathological fracture
Long Description:Age-related 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 M81.0:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Involutional osteoporosis without current pathological fracture
  • Osteoporosis NOS
  • Postmenopausal osteoporosis without current pathological fracture
  • Senile osteoporosis without current pathological fracture

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M81.0 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Femoral neck dual energy X-ray photon absorptiometry scan result osteoporotic
  • Forearm DXA scan result osteoporotic
  • Heel DXA scan result osteoporotic
  • Hip DXA scan result osteoporotic
  • Lumbar DXA scan result osteoporotic
  • Menopausal osteoporosis
  • Osteoporosis
  • Osteoporosis treatment changed
  • Osteoporosis treatment started
  • Osteoporotic bone marrow defect
  • Osteoporotic kyphosis
  • Postmenopausal osteoporosis
  • Primary osteoporosis
  • Quantitative ultrasound scan of heel - result osteoporotic
  • Senile osteoporosis
  • Vertebral osteoporosis

Diagnostic Related Groups

The ICD-10 code M81.0 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 553 - BONE DISEASES AND ARTHROPATHIES WITH MCC
  • 554 - BONE DISEASES AND ARTHROPATHIES WITHOUT MCC

Convert M81.0 to ICD-9

  • 733.00 - Osteoporosis NOS (Approximate Flag)
  • 733.01 - Senile osteoporosis

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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