ICD-10-CM › M00-M99 › M80-M85 › M80.01 Age-related osteoporosis with... › M80.019

M80.019

Age-related osteoporosis with current pathological fracture, unspecified shoulder

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 6 more specific codes instead:

  • M80.019A Age-related osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture
  • M80.019D Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with routine healing
  • M80.019G Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with delayed healing
  • M80.019K Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with nonunion
  • M80.019P Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion
  • M80.019S Age-related osteoporosis with current pathological fracture, unspecified shoulder, sequela

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2014 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2014 Added to the draft code set draft Age-related osteoporosis with current pathological fracture, unspecified shoulder

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from M80 Osteoporosis with current pathological fracture

Seventh character required

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

Excludes1 - never coded here

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

Excludes2 - not included here

  • personal history of (healed) osteoporosis fracture (Z87.310)

Use additional code

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

Includes

  • osteoporosis with current fragility fracture

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
M80.011 Age-related osteoporosis with current pathological fracture, right shoulder Not billable
M80.012 Age-related osteoporosis with current pathological fracture, left shoulder Not billable