Other osteoporosis with current pathological fracture

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 11 more specific codes instead:

M80.80 Other osteoporosis with current pathological fracture, unspecified site (also a header)
M80.81 Other osteoporosis with pathological fracture, shoulder (also a header)
M80.82 Other osteoporosis with current pathological fracture, humerus (also a header)
M80.83 Other osteoporosis with current pathological fracture, forearm (also a header)
M80.84 Other osteoporosis with current pathological fracture, hand (also a header)
M80.85 Other osteoporosis with current pathological fracture, femur (also a header)
M80.86 Other osteoporosis with current pathological fracture, lower leg (also a header)
M80.87 Other osteoporosis with current pathological fracture, ankle and foot (also a header)
M80.88 Other osteoporosis with current pathological fracture, vertebra(e) (also a header)
M80.8A Other osteoporosis with current pathological fracture, other site (also a header)
M80.8B Other osteoporosis with current pathological fracture, pelvis (also a header)

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

What has happened to this code

Every change the publisher made, from 2012 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.

FY2012 Added to the draft code set draft Other osteoporosis with current pathological fracture

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

Codes in the same group

Code	Description	Status
M80.0	Age-related osteoporosis with current pathological fracture	Not billable