2027 ICD-10-CM Diagnosis Code M85.80Other specified disorders of bone density and structure, unspecified site
ICD-10-CM Codes›M00–M99›M80-M85›M85
- Billable — Valid for Submission
- Not Chronic
M85.80 is a billable ICD-10-CM diagnosis code for other specified disorders of bone density and structure, unspecified site. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 564 through 566. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified bone disease and musculoskeletal deformities.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acroosteolysis
- Apophyseal sclerosis
- Bone density above reference range
- Craniofacial dysplasia osteopenia syndrome
- Disorder with defective osteoid mineralization
- Dysplasia with decreased bone density
- Dysplasia with increased bone density
- Erosion of bone
- Global developmental delay, osteopenia, ectodermal defect syndrome
- Hyperosteoidosis
- Idiopathic acroosteolysis
- Idiopathic acroosteolysis of phalanx
- Melorheostosis
- Melorheostosis with osteopoikilosis
- Metabolic bone disease of prematurity
- Neonatal osteopenia
- Neurodevelopmental delay, seizures, ophthalmic anomalies, osteopenia, cerebellar atrophy syndrome
- Occupational acroosteolysis
- Osteopenia
- Osteopenia caused by drug
- Osteopenia due to disuse
- Osteopenia of prematurity
- Osteopenia with high fracture risk
- Osteopenia, intellectual disability, sparse hair syndrome
- Osteopoikilosis
- Postmenopausal osteopenia
- Premenopausal idiopathic osteopenia
- Sclerosis of cortex of bone
- Senile osteopenia
- Steroid-induced osteopenia
- Structural abnormality of appendicular skeleton
- Structural abnormality of bone of limb
- Structural abnormality of cortical bone
- Structural abnormality of diaphysis
- Structural abnormality of epiphyseal plate
- Structural abnormality of epiphysis of limb
- Structural abnormality of long bone
- Structural abnormality of metaphysis
- Structural abnormality of metaphysis of upper limb
- Structural abnormality of skeleton
- Structural abnormality of trabecular substance of bone
- Structural abnormality of upper limb bone
- Structure abnormality of bone of lower limb
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M85.80: its own notes plus those printed at M85.8, M85, and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
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)
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.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Bone Density
Your bones are made of living tissue. To keep them strong, your body breaks down old bone and replaces it with new bone. But when more bone is broken down than replaced, you lose bone density, also called bone mass. Bone density is a measure of the amount of calcium and other minerals in bone. Bones containing more minerals are denser.
The full article covers:
- What is bone density?
- What can make you lose bone density?
- Is there a test to measure your bone health?
- How can I keep my bones strong?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert M85.80 to ICD-9-CMHistory
Code HistoryHistory
Questions About M85.80Overview
Is M85.80 (Other specified disorders of bone density and structure) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified disorders of bone density and structure, unspecified site on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does M85.80 group to?
When other specified disorders of bone density and structure, unspecified site is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.
Can M85.80 be reported with M48.1?
Not as a rule. The Excludes1 note at M85.8, which applies to M85.80, lists "diffuse idiopathic skeletal hyperostosis [DISH] (M48.1)". 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).
What is the ICD-9 equivalent of M85.80?
Under the General Equivalence Mappings, other specified disorders of bone density and structure, unspecified site converts to ICD-9-CM 733.90 (bone & cartilage dis NOS) and 733.99 (bone & cartilage dis NEC). The mapping is approximate, so confirm the match fits the documentation.
