M80.81 is the authoritative medical code for Other osteoporosis with pathological fracture, shoulder. This classification is used in medical billing and clinical recording to specify the clinical criteria for other osteoporosis with pathological fracture, shoulder (ICD-10-CM M80.81), 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
Other osteoporosis with pathological fracture, shoulder is a non-billable ICD-10-CM category code M80.81. 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 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-. 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 M80.81 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 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-
Frequently Asked Questions (FAQ) & Clinical Guidance
Can M80.81 be billed directly?
No. M80.81 (Other osteoporosis with pathological fracture, shoulder) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does M80.81 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 M80.81?
Per Excludes1 instructions, M80.81 must not be reported with: collapsed vertebra NOS (M48.5); pathological fracture NOS (M84.4); wedging of vertebra NOS (M48.5).
Can M80.81 be reported alongside related conditions?
Per Excludes2 instructions, M80.81 and the following may both be reported when both are present: personal history of (healed) osteoporosis fracture (Z87.310).
Is an additional code needed with M80.81?
Use additional code(s) to specify: 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-).
Codes in This Family (21)
Official ICD-10-CM classifications in the same code family as M80.81, with their registry titles.
- M80.811 — Other osteoporosis with current pathological fracture, right shoulder
- M80.811A — Other osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture
- M80.811D — Other osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with routine healing
- M80.811G — Other osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with delayed healing
- M80.811K — Other osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with nonunion
- M80.811P — Other osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with malunion
- M80.811S — Other osteoporosis with current pathological fracture, right shoulder, sequela
- M80.812 — Other osteoporosis with current pathological fracture, left shoulder
- M80.812A — Other osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture
- M80.812D — Other osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with routine healing
- M80.812G — Other osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with delayed healing
- M80.812K — Other osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with nonunion
- M80.812P — Other osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with malunion
- M80.812S — Other osteoporosis with current pathological fracture, left shoulder, sequela
- M80.819 — Other osteoporosis with current pathological fracture, unspecified shoulder
- M80.819A — Other osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture
- M80.819D — Other osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with routine healing
- M80.819G — Other osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with delayed healing
- M80.819K — Other osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with nonunion
- M80.819P — Other osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion
- M80.819S — Other osteoporosis with current pathological fracture, unspecified shoulder, sequela
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code M85.81
Other specified disorders of bone density and structure, shoulder