M80 vs M96
M80 (Osteoporosis with current pathological fracture) compared with M96 (Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. M96 carries an Excludes2 note covering M80: “disorders associated with osteoporosis (M80)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| M80Osteoporosis with current pathological fracture | M96Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified | |
|---|---|---|
| Billing status | Non-billable header Report instead: M80.00XA, M80.00XD, M80.00XG, M80.00XK, M80.00XP | Non-billable header |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Osteoporosis with current pathological fracture is a non-billable ICD-10-CM category code (M80). | Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified is a non-billable ICD-10-CM category code (M96). |
| 7th character | The appropriate 7th character is to be added to each code from category M80: | — |
| Includes | osteoporosis with current fragility fracture | — |
| Use additional code | code to identify major osseous defect, if applicable (M89.7-) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources