2026 ICD-10-CM Diagnosis Code M81.0Age-related osteoporosis without current pathological fracture
ICD-10-CM Codes›M00–M99›M80-M85›M81
- Billable — Valid for Submission
- Chronic Condition
M81.0 is a billable ICD-10-CM diagnosis code for age-related osteoporosis without current pathological fracture. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 553 through 554. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Osteoporosis.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for M81.0.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Dual energy X-ray absorptiometry of bone of forearm result osteoporosis
- Dual energy X-ray absorptiometry of bone of hip joint region result osteoporosis
- Dual energy X-ray absorptiometry of bone of lumbar vertebra result osteoporosis
- Dual energy X-ray absorptiometry of calcaneum result osteoporosis
- Dual energy X-ray absorptiometry of neck of femur result osteoporosis
- Lordosis deformity of spine due to osteoporosis of vertebra
- Menopausal osteoporosis
- Osteoporosis
- Osteoporosis treatment changed
- Osteoporosis treatment started
- Osteoporotic bone marrow defect
- Osteoporotic kyphosis
- Osteoporotic scoliosis
- Postmenopausal osteoporosis
- Primary osteoporosis
- Quantitative ultrasound scan of heel - result osteoporotic
- Secondary kyphosis
- Senile osteoporosis
- Vertebral osteoporosis
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Involutional osteoporosis without current pathological fracture
- Osteoporosis NOS
- Postmenopausal osteoporosis without current pathological fracture
- Senile osteoporosis without current pathological fracture
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Osteoporosis (female) (male) - M81.0
- postmenopausal - M81.0
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Osteoporosis(female) (male)
- Osteoporosis(female) (male)
- age-related
- Osteoporosis(female) (male)
- postmenopausal
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Osteoporosis
reduction of bone mass without alteration in the composition of bone, leading to fractures. primary osteoporosis can be of two major types: postmenopausal osteoporosis (osteoporosis, postmenopausal) and age-related or senile osteoporosis.Osteoporosis, Postmenopausal
metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm. it occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency.
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 M81.0 to ICD-9-CMHistory
Code HistoryHistory
Questions About M81.0Overview
Is M81.0 (Osteoporosis without current pathological fracture) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report age-related osteoporosis without current pathological fracture on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M81.0 group to?
When age-related osteoporosis without current pathological fracture is the principal diagnosis on an inpatient stay, it groups to MS-DRG 553, 554, with relative weights from 0.8301 to 1.2963 depending on complications. Higher weights mean higher Medicare reimbursement.
Who can M81.0 be reported for?
The Medicare Code Editor checks age-related osteoporosis without current pathological fracture against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.
What is the ICD-9 equivalent of M81.0?
Under the General Equivalence Mappings, age-related osteoporosis without current pathological fracture converts to ICD-9-CM 733.00 (osteoporosis NOS) and 733.01 (senile osteoporosis). 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.
