ICD-10 Diagnosis Code M81.0

Age-related osteoporosis w/o current pathological fracture

Diagnosis Code M81.0

ICD-10: M81.0
Short Description: Age-related osteoporosis w/o current pathological fracture
Long Description: Age-related osteoporosis without current pathological fracture
This is the 2019 version of the ICD-10-CM diagnosis code M81.0

Valid for Submission
The code M81.0 is valid for submission for HIPAA-covered transactions.

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)


Version 2019 Billable Code Adult Diagnoses

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Adult diagnoses - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Diagnostic Related Groups
The diagnosis code M81.0 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

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

Convert to ICD-9
  • 733.00 - Osteoporosis NOS (Approximate Flag)
  • 733.01 - Senile osteoporosis

Synonyms
  • Acquired kyphosis
  • 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
  • Secondary kyphosis
  • Senile osteoporosis
  • Vertebral osteoporosis

Index to Diseases and Injuries
References found for the code M81.0 in the Index to Diseases and Injuries:


Tabular List of Diseases and Injuries
References found for the code M81.0 in the Tabular List of Diseases and Injuries:

  • Inclusion Terms:
    • Involutional osteoporosis WITH out current pathological fracture
    • Osteoporosis NOS
    • Postmenopausal osteoporosis WITH out current pathological fracture
    • Senile osteoporosis WITH out current pathological fracture

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

  • Bone mineral density test (Medical Encyclopedia)
  • Calcium, vitamin D, and your bones (Medical Encyclopedia)
  • Exercise, lifestyle, and your bones (Medical Encyclopedia)
  • Medicines for osteoporosis (Medical Encyclopedia)
  • Osteoporosis (Medical Encyclopedia)
  • What causes bone loss? (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - 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.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. 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.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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