M80.012 is the authoritative medical code for Age-related osteoporosis with current pathological fracture, left shoulder. This classification is used in medical billing and clinical recording to specify the clinical criteria for age-related osteoporosis with current pathological fracture, left shoulder (ICD-10-CM M80.012), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Age-related osteoporosis with current pathological fracture, left shoulder is a non-billable ICD-10-CM category code M80.012. A more specific billable subcode must be selected for claims submission. Includes: osteoporosis with current fragility fracture. Excludes1 (not coded here): collapsed vertebra NOS M48.5; pathological fracture NOS M84.4; wedging of vertebra NOS M48.5. Excludes2 (not included here): personal history of healed osteoporosis fracture Z87.310. Use additional code: code to identify major osseous defect, if applicable M89.7-. 7th character: The appropriate 7th character is to be added to each code from category M80:.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M80.012 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- osteoporosis with current fragility fracture
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- collapsed vertebra NOS M48.5
- pathological fracture NOS M84.4
- wedging of vertebra NOS M48.5
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- personal history of healed osteoporosis fracture Z87.310
Use Additional Code
Supplementary codes the tabular list directs you to add.
- code to identify major osseous defect, if applicable M89.7-
Frequently Asked Questions (FAQ) & Clinical Guidance
Can M80.012 be billed directly?
No. M80.012 (Age-related osteoporosis with current pathological fracture, left shoulder) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does M80.012 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category M80:.
What can't be coded together with M80.012?
Per official ICD-10-CM Excludes1 instructions, M80.012 must not be reported together with: collapsed vertebra NOS (M48.5); pathological fracture NOS (M84.4); wedging of vertebra NOS (M48.5).
Can M80.012 be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, M80.012 and the following are not considered part of each other and may both be reported when both conditions are present: personal history of (healed) osteoporosis fracture (Z87.310).
Is an additional code needed with M80.012?
Use additional code(s) to specify: code to identify major osseous defect, if applicable (M89.7-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M80.012 in its code family, with their registry titles.
- M80 — Osteoporosis with current pathological fracture
- M80-M85 — Disorders of bone density and structure (M80-M85)
- M80-M94 — Osteopathies and chondropathies (M80-M94)
- M80.0 — Age-related osteoporosis with current pathological fracture
- M80.00 — Age-related osteoporosis with current pathological fracture, unspecified site
- M80.00XA — Age-related osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture
- M80.00XD — Age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with routine healing
- M80.00XG — Age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing
- M80.00XK — Age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with nonunion
- M80.00XP — Age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with malunion
View all 40 codes in the M80 family