M80.811S (Other osteoporosis with current pathological fracture, right shoulder, sequela) compared with M80.819S (Other osteoporosis with current pathological fracture, unspecified shoulder, sequela), from the official CMS tabular data. M80.811S and M80.819S code the same condition on opposite sides.
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. M80.811S and M80.819S 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.
| M80.811SOther osteoporosis with current pathological fracture, right shoulder, sequela | M80.819SOther osteoporosis with current pathological fracture, unspecified shoulder, sequela | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 | Other osteoporosis with current pathological fracture, right shoulder, sequela is a billable ICD-10-CM diagnosis code (M80.811S). | Other osteoporosis with current pathological fracture, unspecified shoulder, sequela is a billable ICD-10-CM diagnosis code (M80.819S). |
| 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 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-) | 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-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources