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M80.821D vs M80.829D

M80.821D (Other osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with routine healing) compared with M80.829D (Other osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing), from the official CMS tabular data. M80.821D and M80.829D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M80.821D
Right
Other osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with routine healing
↔
M80.829D
Unspecified
Other osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing

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. M80.821D and M80.829D 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

M80.821DOther osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with routine healingM80.829DOther osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing
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)
DefinitionOther osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (M80.821D).Other osteoporosis with current pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (M80.829D).
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 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-)
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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