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M80.8A ICD-10-CM Code: Other osteoporosis with current pathological fracture, other site

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 current pathological fracture, other site is a non-billable ICD-10-CM category code (M80.8A). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for M80.8A 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 generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • Use additional code to identify major osseous defect, if applicable (M89.7-)

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Osteoporosis (female) (male), disuse, with current pathological fracture, site specified NEC
  • Osteoporosis (female) (male), specified type NEC, with pathological fracture, site specified NEC

Frequently Compared Codes

The official Excludes notes on M80.8A name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2021 — 2020-10-01
    Added to the code set
    Other osteoporosis with current pathological fracture, other site
    FY2021 changes

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name M80.8A or its code family.

11 Excludes1 notes across 4 chapters: E55 (via M80.-), E83.3 (via M80.-), K91.2 (via M80.8.-), M43 (via M80.-), M48.4 (via M80.-), M48.5 (via M80.-), M81 (via M80.-), M84.3 (via M80.-), M84.4 (via M80.-), M84.6 (via M80.-) and 1 more.

1 Excludes2 notes: N99 (via M80.8.-).

1 Code First instructions: M89.7 (via M80.-).

1 Code Also instructions: Z91.B (via M80.-).

Contextual Map

Every relationship of M80.8A in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99) [Hierarchy]
  • M80-M85 — Disorders of bone density and structure [Hierarchy]

Referenced by Excludes1 notes (11)

  • E55 — Vitamin D deficiency [Excludes1](via M80.-): “osteoporosis (M80.-)” · check together
  • E83.3 — Disorders of phosphorus metabolism and phosphatases [Excludes1](via M80.-): “osteoporosis (M80.-)” · check together
  • K91.2 — Postsurgical malabsorption, not elsewhere classified [Excludes1](via M80.8.-): “malabsorption osteoporosis, postsurgical (M80.8-, M81.8)” · check together
  • M43 — Other deforming dorsopathies [Excludes1](via M80.-): “spinal curvature in osteoporosis (M80.-)” · check together
  • M48.4 — Fatigue fracture of vertebra [Excludes1](via M80.-): “pathological fracture of vertebra due to osteoporosis (M80.-)” · check together
  • M48.5 — Collapsed vertebra, not elsewhere classified [Excludes1](via M80.-): “pathological fracture of vertebra due to osteoporosis (M80.-)” · check together
  • M81 — Osteoporosis without current pathological fracture [Excludes1](via M80.-): “osteoporosis with current pathological fracture (M80.-)” · check together
  • M84.3 — Stress fracture [Excludes1](via M80.-): “pathological fracture due to osteoporosis (M80.-)” · check together
  • and 3 more

Referenced by Excludes2 notes

  • N99 — Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified [Excludes2](via M80.8.-): “postoophorectomy osteoporosis with current pathological fracture (M80.8-)” · check together

Referenced by Code First instructions

  • M89.7 — Major osseous defect [Code First](via M80.-): “osteoporosis (M80.-, M81.-)” · check together

Referenced by Code Also instructions

  • Z91.B — Personal risk factor of exposure to diethylstilbestrol [Code Also](via M80.-): “osteoporosis (M80.-)” · check together

Index entries

  • Osteoporosis (female) (male), disuse, with current pathological fracture, site specified NEC[Index term]
  • Osteoporosis (female) (male), specified type NEC, with pathological fracture, site specified NEC[Index term]

Nearest codes (40)

  • M80 — Osteoporosis with current pathological fracture [Sibling]
  • M80.872A — Other osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture [Sibling]
  • M80.872D — Other osteoporosis with current pathological fracture, left ankle and foot, subsequent encounter for fracture with routine healing [Sibling]
  • M80.872G — Other osteoporosis with current pathological fracture, left ankle and foot, subsequent encounter for fracture with delayed healing [Sibling]
  • M80.872K — Other osteoporosis with current pathological fracture, left ankle and foot, subsequent encounter for fracture with nonunion [Sibling]
  • M80.872P — Other osteoporosis with current pathological fracture, left ankle and foot, subsequent encounter for fracture with malunion [Sibling]
  • M80.872S — Other osteoporosis with current pathological fracture, left ankle and foot, sequela [Sibling]
  • M80.879 — Other osteoporosis with current pathological fracture, unspecified ankle and foot [Sibling]
  • and 32 more

Change history

  • FY2021 — Added to the code set [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Can M80.8A be billed directly?

No. M80.8A (Other osteoporosis with current pathological fracture, other site) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does M80.8A require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category M80:.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to M80.8A in its code family, with their registry titles.

  • M80.88XD — Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with routine healing
  • M80.88XG — Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with delayed healing
  • M80.88XK — Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with nonunion
  • M80.88XP — Other osteoporosis with current pathological fracture, vertebra(e), subsequent encounter for fracture with malunion
  • M80.88XS — Other osteoporosis with current pathological fracture, vertebra(e), sequela
  • M80.8AXA — Other osteoporosis with current pathological fracture, other site, initial encounter for fracture
  • M80.8AXD — Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing
  • M80.8AXG — Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with delayed healing
  • M80.8AXK — Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with nonunion
  • M80.8AXP — Other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with malunion

View all codes in the M80 family