2019

  1. ICD-10-CM Codes
    2. ›
  2. M00-M99 Diseases of the musculoskeletal system and connective tissue
    3. ›
  3. M80-M85 Disorders of bone density and structure
    4. ›
  4. M80- Osteoporosis with current pathological fracture
    5. ›

2019 ICD-10-CM Diagnosis Code M80

Osteoporosis with current pathological fracture

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • M80 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM M80 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of M80 - other international versions of ICD-10 M80 may differ.
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 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 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 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 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 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
The following code(s) above M80 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M80:
  • M00-M99
    2019 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • 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)
    Diseases of the musculoskeletal system and connective tissue
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.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to M80:
  • Code First: M89.7
    ICD-10-CM Diagnosis Code M89.7

    Major osseous defect

      2016 2017 2018 2019 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-)
  • Type 1 Excludes: E55
    , E83.3
    , M43
    , M48.4
    , M48.5
    , M81
    , M84.3
    , M84.4
    , M84.6
    ICD-10-CM Diagnosis Code E55

    Vitamin D deficiency

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    ICD-10-CM Diagnosis Code E83.3

    Disorders of phosphorus metabolism and phosphatases

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    ICD-10-CM Diagnosis Code M43

    Other deforming dorsopathies

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital spondylolysis and spondylolisthesis (Q76.2)
    • hemivertebra (Q76.3-Q76.4)
    • Klippel-Feil syndrome (Q76.1)
    • lumbarization and sacralization (Q76.4)
    • platyspondylisis (Q76.4)
    • spina bifida occulta (Q76.0)
    • spinal curvature in osteoporosis (M80.-)
    • spinal curvature in Paget's disease of bone [osteitis deformans] (M88.-)
    ICD-10-CM Diagnosis Code M48.4

    Fatigue fracture of vertebra

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Stress fracture of vertebra
    Type 1 Excludes
    • pathological fracture NOS (M84.4-)
    • 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.-)
    • traumatic fracture of vertebrae (S12.0-S12.3-, S22.0-, S32.0-)
    ICD-10-CM Diagnosis Code M48.5

    Collapsed vertebra, not elsewhere classified

      2016 2017 2018 2019 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.-)
    ICD-10-CM Diagnosis Code M81

    Osteoporosis without current pathological fracture

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • osteoporosis with current pathological fracture (M80.-)
    • Sudeck's atrophy (M89.0)
    Use Additional
    • code to identify:
    • major osseous defect, if applicable (M89.7-)
    • personal history of (healed) osteoporosis fracture, if applicable (Z87.310)
    ICD-10-CM Diagnosis Code M84.3

    Stress fracture

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Fatigue fracture
    • March fracture
    • Stress fracture NOS
    • Stress reaction
    Type 1 Excludes
    Type 2 Excludes
    • personal history of (healed) stress (fatigue) fracture (Z87.312)
    • stress fracture of vertebra (M48.4-)
    Use Additional
    • external cause code(s) to identify the cause of the stress fracture
    ICD-10-CM Diagnosis Code M84.4

    Pathological fracture, not elsewhere classified

      2016 2017 2018 2019 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)
    ICD-10-CM Diagnosis Code M84.6

    Pathological fracture in other disease

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code Also
    • underlying condition
    Type 1 Excludes
    • pathological fracture in osteoporosis (M80.-)
  • Type 2 Excludes: M96
    ICD-10-CM Diagnosis Code M96

    Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • arthropathy following intestinal bypass (M02.0-)
    • complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
    • disorders associated with osteoporosis (M80)
    • periprosthetic fracture around internal prosthetic joint (M97.-)
    • presence of functional implants and other devices (Z96-Z97)
ICD-10-CM Codes Adjacent To M80
M79.A2 Nontraumatic compartment syndrome of lower extremity
M79.A21 Nontraumatic compartment syndrome of right lower extremity
M79.A22 Nontraumatic compartment syndrome of left lower extremity
M79.A29 Nontraumatic compartment syndrome of unspecified lower extremity
M79.A3 …… of abdomen
M79.A9 …… of other sites
M79.8 Other specified soft tissue disorders
M79.81 Nontraumatic hematoma of soft tissue
M79.89 Other specified soft tissue disorders
M79.9 Soft tissue disorder, unspecified
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

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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