2027 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 2027 (October 1, 2026 through September 30, 2027) 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.
M81.0 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 87 for payment year 2027.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for M81.0.
Medicare Risk Adjustment (HCC)Billing
M81.0 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Dual energy X-ray absorptiometry abnormal
- 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
- Musculoskeletal disorder during menopause
- 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
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M81.0: its own notes plus those printed at M81 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Involutional osteoporosis without current pathological fracture
- Osteoporosis NOS
- Postmenopausal osteoporosis without current pathological fracture
- Senile osteoporosis without current pathological fracture
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name M81.0, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming M81.0: its condition is not part of those codes, and both may be reported when the patient has both.
Code First 1
These codes say to code first a condition named in the note, and M81.0 is one of the conditions named.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Osteoporosis (female) (male) M81.0
postmenopausal M81.0
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.
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
What is the ICD-10 code for age-related osteoporosis without current pathological fracture?
The ICD-10-CM code for age-related osteoporosis without current pathological fracture is M81.0 (sometimes written as M810). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
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 554, 553, with relative weights from 0.8328 to 1.2492 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.
Can M81.0 be reported with a code from M80?
Not as a rule. The Excludes1 note at M81, which applies to M81.0, lists "osteoporosis with current pathological fracture (M80.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
Does M81.0 risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage: M81.0 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 87 (Osteoporosis, Vertebral and Pathological Fractures).
