M80 Non-Billable Code

Osteoporosis with current pathological fracture

Chapter Classification

Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99)

Section Detail

M80-M85 Disorders of bone density and structure (M80-M85)

Coding Guidelines & Notes

includes

osteoporosis with current fragility fracture

excludes1

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

excludes2

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

sevenChrDef

{'char': 'A', 'text': 'initial encounter for fracture'}
{'char': 'D', 'text': 'subsequent encounter for fracture with routine healing'}
{'char': 'G', 'text': 'subsequent encounter for fracture with delayed healing'}
{'char': 'K', 'text': 'subsequent encounter for fracture with nonunion'}
{'char': 'P', 'text': 'subsequent encounter for fracture with malunion'}
{'char': 'S', 'text': 'sequela'}

sevenChrNote

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

useAdditionalCode

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

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

M80.0 - Age-related osteoporosis with current pathological fracture
M80.8 - Other osteoporosis with current pathological fracture

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