M80 vs Z87.310
M80 (Osteoporosis with current pathological fracture) compared with Z87.310 (Personal history of (healed) osteoporosis fracture), 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. M80 carries an Excludes2 note covering Z87.310: “personal history of (healed) osteoporosis fracture (Z87.310)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| M80Osteoporosis with current pathological fracture | Z87.310Personal history of (healed) osteoporosis fracture | |
|---|---|---|
| Billing status | Non-billable header Report instead: M80.00XA, M80.00XD, M80.00XG, M80.00XK, M80.00XP | Billable |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Osteoporosis with current pathological fracture is a non-billable ICD-10-CM category code (M80). | Personal history of (healed) osteoporosis fracture is a billable ICD-10-CM diagnosis code (Z87.310). |
| 7th character | The appropriate 7th character is to be added to each code from category M80: | — |
| Includes | osteoporosis with current fragility fracture | Personal history of (healed) fragility fracture Personal history of (healed) collapsed vertebra due to osteoporosis |
| Use additional code | code to identify major osseous defect, if applicable (M89.7-) | — |
| Code first | — | any follow-up examination after treatment (Z09) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources