M80.8A vs Z87.310
M80.8A (Other osteoporosis with current pathological fracture, other site) 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. M80.8A 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
| M80.8AOther osteoporosis with current pathological fracture, other site | Z87.310Personal history of (healed) osteoporosis fracture | |
|---|---|---|
| Billing status | Non-billable header Report instead: M80.8AXA, M80.8AXD, M80.8AXG, M80.8AXK, M80.8AXP | 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 | Other osteoporosis with current pathological fracture, other site is a non-billable ICD-10-CM category code (M80.8A). | 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 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 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