ICD-10-CM › M00-M99 › M80-M85 › M80.81 Other osteoporosis with... › M80.819

M80.819

Other 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:

  • M80.819A Other osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture
  • M80.819D Other osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with routine healing
  • M80.819G Other osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with delayed healing
  • M80.819K Other osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with nonunion
  • M80.819P Other osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion
  • M80.819S Other 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 Other 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
M80.811 Other osteoporosis with current pathological fracture, right shoulder Not billable
M80.812 Other osteoporosis with current pathological fracture, left shoulder Not billable