2020

  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. ›
  5. 2020 ICD-10-CM Diagnosis Code M80.812K

2020 ICD-10-CM Diagnosis Code M80.812K

Other osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with nonunion

    2016 2017 2018 2019 2020 Billable/Specific Code
  • M80.812K is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Oth osteopor w crnt path fx, l shldr, subs for fx w nonunion
  • The 2020 edition of ICD-10-CM M80.812K became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M80.812K - other international versions of ICD-10 M80.812K may differ.
The following code(s) above M80.812K 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 M80.812K:
  • M00-M99
    2020 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
  • M80
    ICD-10-CM Diagnosis Code M80

    Osteoporosis with current pathological fracture

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • osteoporosis with current fragility fracture
    Type 1 Excludes
    • collapsed vertebra NOS (M48.5)
    • pathological fracture NOS (M84.4)
    • wedging of vertebra NOS (M48.5)
    Type 2 Excludes
    • personal history of (healed) osteoporosis fracture (Z87.310)
    Use Additional
    • code to identify major osseous defect, if applicable (M89.7-)
    Osteoporosis with current pathological fracture
  • M80.8
    ICD-10-CM Diagnosis Code M80.8

    Other osteoporosis with current pathological fracture

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Drug-induced osteoporosis with current pathological fracture
    • Idiopathic osteoporosis with current pathological fracture
    • Osteoporosis of disuse with current pathological fracture
    • Postoophorectomy osteoporosis with current pathological fracture
    • Postsurgical malabsorption osteoporosis with current pathological fracture
    • Post-traumatic osteoporosis with current pathological fracture
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    Other osteoporosis with current pathological fracture
ICD-10-CM M80.812K is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 564 Other musculoskeletal system and connective tissue diagnoses with mcc
  • 565 Other musculoskeletal system and connective tissue diagnoses with cc
  • 566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc

Convert M80.812K to ICD-9-CM

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
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To M80.812K
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

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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