2020 ICD-10-CM Diagnosis Code M81.8

Other osteoporosis without current pathological fracture

    2016 2017 2018 2019 2020 Billable/Specific Code
  • M81.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM M81.8 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M81.8 - other international versions of ICD-10 M81.8 may differ.
Applicable To
  • Drug-induced osteoporosis without current pathological fracture
  • Idiopathic osteoporosis without current pathological fracture
  • Osteoporosis of disuse without current pathological fracture
  • Postoophorectomy osteoporosis without current pathological fracture
  • Postsurgical malabsorption osteoporosis without current pathological fracture
  • Post-traumatic osteoporosis without current pathological fracture
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 for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7)
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76)
    • contact dermatitis (L23-L25)
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
The following code(s) above M81.8 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 M81.8:
  • 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
  • M81
    ICD-10-CM Diagnosis Code M81

    Osteoporosis without current pathological fracture

      2016 2017 2018 2019 2020 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)
    Osteoporosis without current pathological fracture
Approximate Synonyms
  • Disuse osteoporosis
  • Drug induced osteoporosis
  • Idiopathic osteoporosis
  • Osteoporosis medication contraindicated
  • Osteoporosis medication contraindicated (situation)
  • Osteoporosis, disuse
  • Osteoporosis, drug induced
  • Osteoporosis, idiopathic
  • Pathologic osteoporosis
ICD-10-CM M81.8 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 553 Bone diseases and arthropathies with mcc
  • 554 Bone diseases and arthropathies without mcc

Convert M81.8 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
Code annotations containing back-references to M81.8:
  • Type 1 Excludes: K91.2
    ICD-10-CM Diagnosis Code K91.2

    Postsurgical malabsorption, not elsewhere classified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Postsurgical blind loop syndrome
    Type 1 Excludes
    • malabsorption osteomalacia in adults (M83.2)
    • malabsorption osteoporosis, postsurgical (M80.8-, M81.8)
  • Type 2 Excludes: N99
    ICD-10-CM Diagnosis Code N99

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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • irradiation cystitis (N30.4-)
    • postoophorectomy osteoporosis with current pathological fracture (M80.8-)
    • postoophorectomy osteoporosis without current pathological fracture (M81.8)

Diagnosis Index entries containing back-references to M81.8:
  • Osteoporosis (female) (male) M81.0
    ICD-10-CM Diagnosis Code M81.0

    Age-related osteoporosis without current pathological fracture

      2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years)
    Applicable To
    • Involutional osteoporosis without current pathological fracture
    • Osteoporosis NOS
    • Postmenopausal osteoporosis without current pathological fracture
    • Senile osteoporosis without current pathological fracture

ICD-10-CM Codes Adjacent To M81.8
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
M81 Osteoporosis without current pathological fracture
M81.0 Age-related osteoporosis without current pathological fracture
M81.6 Localized osteoporosis [Lequesne]
M81.8 Other osteoporosis without current pathological fracture
M83 Adult osteomalacia
M83.0 Puerperal osteomalacia
M83.1 Senile osteomalacia
M83.2 Adult osteomalacia due to malabsorption
M83.3 Adult osteomalacia due to malnutrition
M83.4 Aluminum bone disease
M83.5 Other drug-induced osteomalacia in adults
M83.8 Other adult osteomalacia
M83.9 Adult osteomalacia, unspecified
M84 Disorder of continuity of bone

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