Osteoporosis with current pathological fracture M80- >

Use Additional
Use Additional Help
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. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify major osseous defect, if applicable (
    ICD-10-CM Diagnosis Code M89.7

    Major osseous defect

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • underlying disease, if known, such as:
    • aseptic necrosis of bone (M87.-)
    • malignant neoplasm of bone (C40.-)
    • osteolysis (M89.5)
    • osteomyelitis (M86.-)
    • osteonecrosis (M87.-)
    • osteoporosis (M80.-, M81.-)
    • periprosthetic osteolysis (T84.05-)
    M89.7-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M80. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • collapsed vertebra NOS (
    ICD-10-CM Diagnosis Code M48.5

    Collapsed vertebra, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Collapsed vertebra NOS
    • Compression fracture of vertebra NOS
    • Wedging of vertebra NOS
    Type 1 Excludes
    • current injury - see Injury of spine, by body region
    • fatigue fracture of vertebra (M48.4)
    • pathological fracture of vertebra due to neoplasm (M84.58)
    • pathological fracture of vertebra due to other diagnosis (M84.68)
    • pathological fracture of vertebra due to osteoporosis (M80.-)
    • pathological fracture NOS (M84.4-)
    • stress fracture of vertebra (M48.4-)
    • traumatic fracture of vertebra (S12.-, S22.-, S32.-)
    M48.5
    )
  • pathological fracture NOS (
    ICD-10-CM Diagnosis Code M84.4

    Pathological fracture, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Chronic fracture
    • Pathological fracture NOS
    Type 1 Excludes
    Type 2 Excludes
    • personal history of (healed) pathological fracture (Z87.311)
    M84.4
    )
  • wedging of vertebra NOS (
    ICD-10-CM Diagnosis Code M48.5

    Collapsed vertebra, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Collapsed vertebra NOS
    • Compression fracture of vertebra NOS
    • Wedging of vertebra NOS
    Type 1 Excludes
    • current injury - see Injury of spine, by body region
    • fatigue fracture of vertebra (M48.4)
    • pathological fracture of vertebra due to neoplasm (M84.58)
    • pathological fracture of vertebra due to other diagnosis (M84.68)
    • pathological fracture of vertebra due to osteoporosis (M80.-)
    • pathological fracture NOS (M84.4-)
    • stress fracture of vertebra (M48.4-)
    • traumatic fracture of vertebra (S12.-, S22.-, S32.-)
    M48.5
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (M80) and the excluded code together.
  • personal history of (healed) osteoporosis fracture (
    ICD-10-CM Diagnosis Code Z87.310

    Personal history of (healed) osteoporosis fracture

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Personal history of (healed) fragility fracture
    • Personal history of (healed) collapsed vertebra due to osteoporosis
    Z87.310
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • osteoporosis with current fragility fracture
Clinical Information
  • A pathologic bone fracture due to osteoporosis. It is generally caused by a fall from a standing height or lower and usually involves the spine, hip, or wrist.
  • Breaks in bones resulting from low bone mass and microarchitectural deterioration characteristic of osteoporosis.
Codes
  • M80 Osteoporosis with current pathological fracture
    • M80.0 Age-related osteoporosis with current pathological fracture
      • M80.00 Age-related osteoporosis with current pathological fracture, unspecified site
        • M80.00XA …… initial encounter for fracture
        • M80.00XD …… subsequent encounter for fracture with routine healing
        • M80.00XG …… subsequent encounter for fracture with delayed healing
        • M80.00XK …… subsequent encounter for fracture with nonunion
        • M80.00XP …… subsequent encounter for fracture with malunion
        • M80.00XS …… sequela
      • M80.01 Age-related osteoporosis with current pathological fracture, shoulder
        • M80.011 Age-related osteoporosis with current pathological fracture, right shoulder
          • M80.011A …… initial encounter for fracture
          • M80.011D …… subsequent encounter for fracture with routine healing
          • M80.011G …… subsequent encounter for fracture with delayed healing
          • M80.011K …… subsequent encounter for fracture with nonunion
          • M80.011P …… subsequent encounter for fracture with malunion
          • M80.011S …… sequela
        • M80.012 Age-related osteoporosis with current pathological fracture, left shoulder
          • M80.012A …… initial encounter for fracture
          • M80.012D …… subsequent encounter for fracture with routine healing
          • M80.012G …… subsequent encounter for fracture with delayed healing
          • M80.012K …… subsequent encounter for fracture with nonunion
          • M80.012P …… subsequent encounter for fracture with malunion
          • M80.012S …… sequela
        • M80.019 Age-related osteoporosis with current pathological fracture, unspecified shoulder
          • M80.019A …… initial encounter for fracture
          • M80.019D …… subsequent encounter for fracture with routine healing
          • M80.019G …… subsequent encounter for fracture with delayed healing
          • M80.019K …… subsequent encounter for fracture with nonunion
          • M80.019P …… subsequent encounter for fracture with malunion
          • M80.019S …… sequela
      • M80.02 Age-related osteoporosis with current pathological fracture, humerus
        • M80.021 Age-related osteoporosis with current pathological fracture, right humerus
          • M80.021A …… initial encounter for fracture
          • M80.021D …… subsequent encounter for fracture with routine healing
          • M80.021G …… subsequent encounter for fracture with delayed healing
          • M80.021K …… subsequent encounter for fracture with nonunion
          • M80.021P …… subsequent encounter for fracture with malunion
          • M80.021S …… sequela
        • M80.022 Age-related osteoporosis with current pathological fracture, left humerus
          • M80.022A …… initial encounter for fracture
          • M80.022D …… subsequent encounter for fracture with routine healing
          • M80.022G …… subsequent encounter for fracture with delayed healing
          • M80.022K …… subsequent encounter for fracture with nonunion
          • M80.022P …… subsequent encounter for fracture with malunion
          • M80.022S …… sequela
        • M80.029 Age-related osteoporosis with current pathological fracture, unspecified humerus
          • M80.029A …… initial encounter for fracture
          • M80.029D …… subsequent encounter for fracture with routine healing
          • M80.029G …… subsequent encounter for fracture with delayed healing
          • M80.029K …… subsequent encounter for fracture with nonunion
          • M80.029P …… subsequent encounter for fracture with malunion
          • M80.029S …… sequela
      • M80.03 Age-related osteoporosis with current pathological fracture, forearm
        • M80.031 Age-related osteoporosis with current pathological fracture, right forearm
          • M80.031A …… initial encounter for fracture
          • M80.031D …… subsequent encounter for fracture with routine healing
          • M80.031G …… subsequent encounter for fracture with delayed healing
          • M80.031K …… subsequent encounter for fracture with nonunion
          • M80.031P …… subsequent encounter for fracture with malunion
          • M80.031S …… sequela
        • M80.032 Age-related osteoporosis with current pathological fracture, left forearm
          • M80.032A …… initial encounter for fracture
          • M80.032D …… subsequent encounter for fracture with routine healing
          • M80.032G …… subsequent encounter for fracture with delayed healing
          • M80.032K …… subsequent encounter for fracture with nonunion
          • M80.032P …… subsequent encounter for fracture with malunion
          • M80.032S …… sequela
        • M80.039 Age-related osteoporosis with current pathological fracture, unspecified forearm
          • M80.039A …… initial encounter for fracture
          • M80.039D …… subsequent encounter for fracture with routine healing
          • M80.039G …… subsequent encounter for fracture with delayed healing
          • M80.039K …… subsequent encounter for fracture with nonunion
          • M80.039P …… subsequent encounter for fracture with malunion
          • M80.039S …… sequela
      • M80.04 Age-related osteoporosis with current pathological fracture, hand
        • M80.041 Age-related osteoporosis with current pathological fracture, right hand
          • M80.041A …… initial encounter for fracture
          • M80.041D …… subsequent encounter for fracture with routine healing
          • M80.041G …… subsequent encounter for fracture with delayed healing
          • M80.041K …… subsequent encounter for fracture with nonunion
          • M80.041P …… subsequent encounter for fracture with malunion
          • M80.041S …… sequela
        • M80.042 Age-related osteoporosis with current pathological fracture, left hand
          • M80.042A …… initial encounter for fracture
          • M80.042D …… subsequent encounter for fracture with routine healing
          • M80.042G …… subsequent encounter for fracture with delayed healing
          • M80.042K …… subsequent encounter for fracture with nonunion
          • M80.042P …… subsequent encounter for fracture with malunion
          • M80.042S …… sequela
        • M80.049 Age-related osteoporosis with current pathological fracture, unspecified hand
          • M80.049A …… initial encounter for fracture
          • M80.049D …… subsequent encounter for fracture with routine healing
          • M80.049G …… subsequent encounter for fracture with delayed healing
          • M80.049K …… subsequent encounter for fracture with nonunion
          • M80.049P …… subsequent encounter for fracture with malunion
          • M80.049S …… sequela
      • M80.05 Age-related osteoporosis with current pathological fracture, femur
        • M80.051 Age-related osteoporosis with current pathological fracture, right femur
          • M80.051A …… initial encounter for fracture
          • M80.051D …… subsequent encounter for fracture with routine healing
          • M80.051G …… subsequent encounter for fracture with delayed healing
          • M80.051K …… subsequent encounter for fracture with nonunion
          • M80.051P …… subsequent encounter for fracture with malunion
          • M80.051S …… sequela
        • M80.052 Age-related osteoporosis with current pathological fracture, left femur
          • M80.052A …… initial encounter for fracture
          • M80.052D …… subsequent encounter for fracture with routine healing
          • M80.052G …… subsequent encounter for fracture with delayed healing
          • M80.052K …… subsequent encounter for fracture with nonunion
          • M80.052P …… subsequent encounter for fracture with malunion
          • M80.052S …… sequela
        • M80.059 Age-related osteoporosis with current pathological fracture, unspecified femur
          • M80.059A …… initial encounter for fracture
          • M80.059D …… subsequent encounter for fracture with routine healing
          • M80.059G …… subsequent encounter for fracture with delayed healing
          • M80.059K …… subsequent encounter for fracture with nonunion
          • M80.059P …… subsequent encounter for fracture with malunion
          • M80.059S …… sequela
      • M80.06 Age-related osteoporosis with current pathological fracture, lower leg
        • M80.061 Age-related osteoporosis with current pathological fracture, right lower leg
          • M80.061A …… initial encounter for fracture
          • M80.061D …… subsequent encounter for fracture with routine healing
          • M80.061G …… subsequent encounter for fracture with delayed healing
          • M80.061K …… subsequent encounter for fracture with nonunion
          • M80.061P …… subsequent encounter for fracture with malunion
          • M80.061S …… sequela
        • M80.062 Age-related osteoporosis with current pathological fracture, left lower leg
          • M80.062A …… initial encounter for fracture
          • M80.062D …… subsequent encounter for fracture with routine healing
          • M80.062G …… subsequent encounter for fracture with delayed healing
          • M80.062K …… subsequent encounter for fracture with nonunion
          • M80.062P …… subsequent encounter for fracture with malunion
          • M80.062S …… sequela
        • M80.069 Age-related osteoporosis with current pathological fracture, unspecified lower leg
          • M80.069A …… initial encounter for fracture
          • M80.069D …… subsequent encounter for fracture with routine healing
          • M80.069G …… subsequent encounter for fracture with delayed healing
          • M80.069K …… subsequent encounter for fracture with nonunion
          • M80.069P …… subsequent encounter for fracture with malunion
          • M80.069S …… sequela
      • M80.07 Age-related osteoporosis with current pathological fracture, ankle and foot
        • M80.071 Age-related osteoporosis with current pathological fracture, right ankle and foot
          • M80.071A …… initial encounter for fracture
          • M80.071D …… subsequent encounter for fracture with routine healing
          • M80.071G …… subsequent encounter for fracture with delayed healing
          • M80.071K …… subsequent encounter for fracture with nonunion
          • M80.071P …… subsequent encounter for fracture with malunion
          • M80.071S …… sequela
        • M80.072 Age-related osteoporosis with current pathological fracture, left ankle and foot
          • M80.072A …… initial encounter for fracture
          • M80.072D …… subsequent encounter for fracture with routine healing
          • M80.072G …… subsequent encounter for fracture with delayed healing
          • M80.072K …… subsequent encounter for fracture with nonunion
          • M80.072P …… subsequent encounter for fracture with malunion
          • M80.072S …… sequela
        • M80.079 Age-related osteoporosis with current pathological fracture, unspecified ankle and foot
          • M80.079A …… initial encounter for fracture
          • M80.079D …… subsequent encounter for fracture with routine healing
          • M80.079G …… subsequent encounter for fracture with delayed healing
          • M80.079K …… subsequent encounter for fracture with nonunion
          • M80.079P …… subsequent encounter for fracture with malunion
          • M80.079S …… sequela
      • M80.08 Age-related osteoporosis with current pathological fracture, vertebra(e)
        • M80.08XA …… initial encounter for fracture
        • M80.08XD …… subsequent encounter for fracture with routine healing
        • M80.08XG …… subsequent encounter for fracture with delayed healing
        • M80.08XK …… subsequent encounter for fracture with nonunion
        • M80.08XP …… subsequent encounter for fracture with malunion
        • M80.08XS …… sequela
    • M80.8 Other osteoporosis with current pathological fracture
      • M80.80 Other osteoporosis with current pathological fracture, unspecified site
        • M80.80XA …… initial encounter for fracture
        • M80.80XD …… subsequent encounter for fracture with routine healing
        • M80.80XG …… subsequent encounter for fracture with delayed healing
        • M80.80XK …… subsequent encounter for fracture with nonunion
        • M80.80XP …… subsequent encounter for fracture with malunion
        • M80.80XS …… sequela
      • M80.81 Other osteoporosis with pathological fracture, shoulder
        • M80.811 Other osteoporosis with current pathological fracture, right shoulder
          • M80.811A …… initial encounter for fracture
          • M80.811D …… subsequent encounter for fracture with routine healing
          • M80.811G …… subsequent encounter for fracture with delayed healing
          • M80.811K …… subsequent encounter for fracture with nonunion
          • M80.811P …… subsequent encounter for fracture with malunion
          • M80.811S …… sequela
        • M80.812 Other osteoporosis with current pathological fracture, left shoulder
          • M80.812A …… initial encounter for fracture
          • M80.812D …… subsequent encounter for fracture with routine healing
          • M80.812G …… subsequent encounter for fracture with delayed healing
          • M80.812K …… subsequent encounter for fracture with nonunion
          • M80.812P …… subsequent encounter for fracture with malunion
          • M80.812S …… sequela
        • M80.819 Other osteoporosis with current pathological fracture, unspecified shoulder
          • M80.819A …… initial encounter for fracture
          • M80.819D …… subsequent encounter for fracture with routine healing
          • M80.819G …… subsequent encounter for fracture with delayed healing
          • M80.819K …… subsequent encounter for fracture with nonunion
          • M80.819P …… subsequent encounter for fracture with malunion
          • M80.819S …… sequela
      • M80.82 Other osteoporosis with current pathological fracture, humerus
        • M80.821 Other osteoporosis with current pathological fracture, right humerus
          • M80.821A …… initial encounter for fracture
          • M80.821D …… subsequent encounter for fracture with routine healing
          • M80.821G …… subsequent encounter for fracture with delayed healing
          • M80.821K …… subsequent encounter for fracture with nonunion
          • M80.821P …… subsequent encounter for fracture with malunion
          • M80.821S …… sequela
        • M80.822 Other osteoporosis with current pathological fracture, left humerus
          • M80.822A …… initial encounter for fracture
          • M80.822D …… subsequent encounter for fracture with routine healing
          • M80.822G …… subsequent encounter for fracture with delayed healing
          • M80.822K …… subsequent encounter for fracture with nonunion
          • M80.822P …… subsequent encounter for fracture with malunion
          • M80.822S …… sequela
        • M80.829 Other osteoporosis with current pathological fracture, unspecified humerus
          • M80.829A …… initial encounter for fracture
          • M80.829D …… subsequent encounter for fracture with routine healing
          • M80.829G …… subsequent encounter for fracture with delayed healing
          • M80.829K …… subsequent encounter for fracture with nonunion
          • M80.829P …… subsequent encounter for fracture with malunion
          • M80.829S …… sequela
      • M80.83 Other osteoporosis with current pathological fracture, forearm
        • M80.831 Other osteoporosis with current pathological fracture, right forearm
          • M80.831A …… initial encounter for fracture
          • M80.831D …… subsequent encounter for fracture with routine healing
          • M80.831G …… subsequent encounter for fracture with delayed healing
          • M80.831K …… subsequent encounter for fracture with nonunion
          • M80.831P …… subsequent encounter for fracture with malunion
          • M80.831S …… sequela
        • M80.832 Other osteoporosis with current pathological fracture, left forearm
          • M80.832A …… initial encounter for fracture
          • M80.832D …… subsequent encounter for fracture with routine healing
          • M80.832G …… subsequent encounter for fracture with delayed healing
          • M80.832K …… subsequent encounter for fracture with nonunion
          • M80.832P …… subsequent encounter for fracture with malunion
          • M80.832S …… sequela
        • M80.839 Other osteoporosis with current pathological fracture, unspecified forearm
          • M80.839A …… initial encounter for fracture
          • M80.839D …… subsequent encounter for fracture with routine healing
          • M80.839G …… subsequent encounter for fracture with delayed healing
          • M80.839K …… subsequent encounter for fracture with nonunion
          • M80.839P …… subsequent encounter for fracture with malunion
          • M80.839S …… sequela
      • M80.84 Other osteoporosis with current pathological fracture, hand
        • M80.841 Other osteoporosis with current pathological fracture, right hand
          • M80.841A …… initial encounter for fracture
          • M80.841D …… subsequent encounter for fracture with routine healing
          • M80.841G …… subsequent encounter for fracture with delayed healing
          • M80.841K …… subsequent encounter for fracture with nonunion
          • M80.841P …… subsequent encounter for fracture with malunion
          • M80.841S …… sequela
        • M80.842 Other osteoporosis with current pathological fracture, left hand
          • M80.842A …… initial encounter for fracture
          • M80.842D …… subsequent encounter for fracture with routine healing
          • M80.842G …… subsequent encounter for fracture with delayed healing
          • M80.842K …… subsequent encounter for fracture with nonunion
          • M80.842P …… subsequent encounter for fracture with malunion
          • M80.842S …… sequela
        • M80.849 Other osteoporosis with current pathological fracture, unspecified hand
          • M80.849A …… initial encounter for fracture
          • M80.849D …… subsequent encounter for fracture with routine healing
          • M80.849G …… subsequent encounter for fracture with delayed healing
          • M80.849K …… subsequent encounter for fracture with nonunion
          • M80.849P …… subsequent encounter for fracture with malunion
          • M80.849S …… sequela
      • M80.85 Other osteoporosis with current pathological fracture, femur
        • M80.851 Other osteoporosis with current pathological fracture, right femur
          • M80.851A …… initial encounter for fracture
          • M80.851D …… subsequent encounter for fracture with routine healing
          • M80.851G …… subsequent encounter for fracture with delayed healing
          • M80.851K …… subsequent encounter for fracture with nonunion
          • M80.851P …… subsequent encounter for fracture with malunion
          • M80.851S …… sequela
        • M80.852 Other osteoporosis with current pathological fracture, left femur
          • M80.852A …… initial encounter for fracture
          • M80.852D …… subsequent encounter for fracture with routine healing
          • M80.852G …… subsequent encounter for fracture with delayed healing
          • M80.852K …… subsequent encounter for fracture with nonunion
          • M80.852P …… subsequent encounter for fracture with malunion
          • M80.852S …… sequela
        • M80.859 Other osteoporosis with current pathological fracture, unspecified femur
          • M80.859A …… initial encounter for fracture
          • M80.859D …… subsequent encounter for fracture with routine healing
          • M80.859G …… subsequent encounter for fracture with delayed healing
          • M80.859K …… subsequent encounter for fracture with nonunion
          • M80.859P …… subsequent encounter for fracture with malunion
          • M80.859S …… sequela
      • M80.86 Other osteoporosis with current pathological fracture, lower leg
        • M80.861 Other osteoporosis with current pathological fracture, right lower leg
          • M80.861A …… initial encounter for fracture
          • M80.861D …… subsequent encounter for fracture with routine healing
          • M80.861G …… subsequent encounter for fracture with delayed healing
          • M80.861K …… subsequent encounter for fracture with nonunion
          • M80.861P …… subsequent encounter for fracture with malunion
          • M80.861S …… sequela
        • M80.862 Other osteoporosis with current pathological fracture, left lower leg
          • M80.862A …… initial encounter for fracture
          • M80.862D …… subsequent encounter for fracture with routine healing
          • M80.862G …… subsequent encounter for fracture with delayed healing
          • M80.862K …… subsequent encounter for fracture with nonunion
          • M80.862P …… subsequent encounter for fracture with malunion
          • M80.862S …… sequela
        • M80.869 Other osteoporosis with current pathological fracture, unspecified lower leg
          • M80.869A …… initial encounter for fracture
          • M80.869D …… subsequent encounter for fracture with routine healing
          • M80.869G …… subsequent encounter for fracture with delayed healing
          • M80.869K …… subsequent encounter for fracture with nonunion
          • M80.869P …… subsequent encounter for fracture with malunion
          • M80.869S …… sequela
      • M80.87 Other osteoporosis with current pathological fracture, ankle and foot
        • M80.871 Other osteoporosis with current pathological fracture, right ankle and foot
          • M80.871A …… initial encounter for fracture
          • M80.871D …… subsequent encounter for fracture with routine healing
          • M80.871G …… subsequent encounter for fracture with delayed healing
          • M80.871K …… subsequent encounter for fracture with nonunion
          • M80.871P …… subsequent encounter for fracture with malunion
          • M80.871S …… sequela
        • M80.872 Other osteoporosis with current pathological fracture, left ankle and foot
          • M80.872A …… initial encounter for fracture
          • M80.872D …… subsequent encounter for fracture with routine healing
          • M80.872G …… subsequent encounter for fracture with delayed healing
          • M80.872K …… subsequent encounter for fracture with nonunion
          • M80.872P …… subsequent encounter for fracture with malunion
          • M80.872S …… sequela
        • M80.879 Other osteoporosis with current pathological fracture, unspecified ankle and foot
          • M80.879A …… initial encounter for fracture
          • M80.879D …… subsequent encounter for fracture with routine healing
          • M80.879G …… subsequent encounter for fracture with delayed healing
          • M80.879K …… subsequent encounter for fracture with nonunion
          • M80.879P …… subsequent encounter for fracture with malunion
          • M80.879S …… sequela
      • M80.88 Other osteoporosis with current pathological fracture, vertebra(e)
        • M80.88XA …… initial encounter for fracture
        • M80.88XD …… subsequent encounter for fracture with routine healing
        • M80.88XG …… subsequent encounter for fracture with delayed healing
        • M80.88XK …… subsequent encounter for fracture with nonunion
        • M80.88XP …… subsequent encounter for fracture with malunion
        • M80.88XS …… sequela