Osteoporosis with current pathological fracture (M80) ICD-10-CM

Includes

This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

• osteoporosis with current fragility fracture

Use Additional Code

The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

• code to identify major osseous defect, if applicable M89.7

Type 1 Excludes

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.

• collapsed vertebra NOS M48.5
• pathological fracture NOS M84.4
• wedging of vertebra NOS M48.5

Type 2 Excludes

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.

• personal history of healed osteoporosis fracture Z87.310

7th Character Note

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.

• The appropriate 7th character is to be added to each code from category M80:

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

• A - initial encounter for fracture
• D - subsequent encounter for fracture with routine healing
• G - subsequent encounter for fracture with delayed healing
• K - subsequent encounter for fracture with nonunion
• P - subsequent encounter for fracture with malunion
• S - sequela