ICD-10/M80.069

M80.069 ICD-10-CM Code: Age-related osteoporosis with current pathological fracture, unspecified lower leg

M80.069 is the authoritative medical code for Age-related osteoporosis with current pathological fracture, unspecified lower leg. This classification is used in medical billing and clinical recording to specify the clinical criteria for age-related osteoporosis with current pathological fracture, unspecified lower leg (ICD-10-CM M80.069), ensuring healthcare documentation aligns with current 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, unspecified lower leg is a non-billable ICD-10-CM category code M80.069. 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 M80.069 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 M80.069 be billed directly?

No. M80.069 (Age-related osteoporosis with current pathological fracture, unspecified lower leg) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does M80.069 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 M80.069?

Per official ICD-10-CM Excludes1 instructions, M80.069 must not be reported together with: collapsed vertebra NOS (M48.5); pathological fracture NOS (M84.4); wedging of vertebra NOS (M48.5).

Can M80.069 be reported alongside related conditions?

Per official ICD-10-CM Excludes2 instructions, M80.069 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 M80.069?

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 M80.069 in its code family, with their registry titles.

  • M80.019K — Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with nonunion
  • M80.019P — Age-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion
  • M80.019S — Age-related osteoporosis with current pathological fracture, unspecified shoulder, sequela
  • M80.02 — Age-related osteoporosis with current pathological fracture, humerus
  • M80.021 — Age-related osteoporosis with current pathological fracture, right humerus
  • M80.021A — Age-related osteoporosis with current pathological fracture, right humerus, initial encounter for fracture
  • M80.021D — Age-related osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with routine healing
  • M80.021G — Age-related osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with delayed healing
  • M80.021K — Age-related osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with nonunion
  • M80.021P — Age-related osteoporosis with current pathological fracture, right humerus, subsequent encounter for fracture with malunion

View all 40 codes in the M80 family