{"code":"M80.88","type":"category","title":"Other osteoporosis with current pathological fracture, vertebra(e)","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},"inclusionTerms":[],"useAdditionalCode":["code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)","code to identify major osseous defect, if applicable (M89.7-)"],"clinicalDefinition":"Other osteoporosis with current pathological fracture, vertebra(e) is a non-billable ICD-10-CM category code (M80.88). 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":"Other osteoporosis with current pathological fracture, vertebra(e) is a non-billable ICD-10-CM category code (M80.88). 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 for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5); 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":""}