{"code":"M80.01","type":"code","title":"Age-related osteoporosis with current pathological fracture, shoulder","codeAlso":[],"includes":["osteoporosis with current fragility fracture"],"modern_v":"official26","codeFirst":[],"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)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["M80.011","M80.011A","M80.011D","M80.011G","M80.011K","M80.011P","M80.011S","M80.012","M80.012A","M80.012D","M80.012G","M80.012K","M80.012P","M80.012S","M80.019","M80.019A","M80.019D","M80.019G","M80.019K","M80.019P","M80.019S"],"inclusionTerms":[],"sibling_titles":{"code":"M80.019S","title":"Age-related osteoporosis with current pathological fracture, unspecified shoulder, sequela","isBillable":true},"useAdditionalCode":["code to identify major osseous defect, if applicable (M89.7-)"],"clinicalDefinition":"Age-related osteoporosis with current pathological fracture, shoulder is a non-billable ICD-10-CM category code (M80.01). A more specific billable subcode must be selected for claims submission. Includes: osteoporosis with current fragility fracture. Excludes1 (not 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).","officialDefinition":"Age-related osteoporosis with current pathological fracture, shoulder is a non-billable ICD-10-CM category code (M80.01). A more specific billable subcode must be selected for claims submission. Includes: osteoporosis with current fragility fracture. Excludes1 (not 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-). 7th character: The appropriate 7th character is to be added to each code from category M80:.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category M80:"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}