M80.011 (Age-related osteoporosis with current pathological fracture, right shoulder) compared with M80.012 (Age-related osteoporosis with current pathological fracture, left shoulder), from the official CMS tabular data. M80.011 and M80.012 code the same condition on opposite sides. MedCoder-derived
Same condition; these differ only in which side is documented.
These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.
Source: ICD-10-CM tabular list (laterality variant derived from the code title)
Same condition, opposite side. M80.011 and M80.012 name the same condition on opposite sides of the body.
Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.
| M80.011Age-related osteoporosis with current pathological fracture, right shoulder | M80.012Age-related osteoporosis with current pathological fracture, left shoulder | |
|---|---|---|
| Billing status | Non-billable header Report instead: M80.011A, M80.011D, M80.011G, M80.011K, M80.011P | Non-billable header Report instead: M80.012A, M80.012D, M80.012G, M80.012K, M80.012P |
| Classification | M00-M99 — Diseases of the musculoskeletal system and connective tissue | M00-M99 — Diseases of the musculoskeletal system and connective tissue |
| Definition | Age-related osteoporosis with current pathological fracture, right shoulder is a non-billable ICD-10-CM category code (M80.011). | Age-related osteoporosis with current pathological fracture, left shoulder is a non-billable ICD-10-CM category code (M80.012). |
| 7th character | The appropriate 7th character is to be added to each code from category M80: | The appropriate 7th character is to be added to each code from category M80: |
| Includes | osteoporosis with current fragility fracture | osteoporosis with current fragility fracture |
| Use additional code | code to identify major osseous defect, if applicable (M89.7-) | 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