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M80.012P vs M80.019P

M80.012P (Age-related osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with malunion) compared with M80.019P (Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion), from the official CMS tabular data. M80.012P and M80.019P code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M80.012P
Left
Age-related osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with malunion
↔
M80.019P
Unspecified
Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion

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)

Can these codes be reported together?

Same condition, opposite side. M80.012P and M80.019P 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.

Side by side

M80.012PAge-related osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with malunionM80.019PAge-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionAge-related osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (M80.012P).Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (M80.019P).
7th characterThe 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-)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources