Alphabetic Index FY2027

M80

Osteoporosis with current pathological fracture

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M80–M85 Disorders of bone density and structure

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

M80 is a non-billable ICD-10-CM code category for osteoporosis with current pathological fracture. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are M80.0 Age-related osteoporosis with current pathological fracture and M80.8 Other osteoporosis with current pathological fracture. Its coding notes include a Use additional code instruction, 3 Excludes1 entries and 11 Excludes2 entries.

7th characters

Every code below needs one of these.

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

  • Ainitial encounter for fracture
  • Dsubsequent encounter for fracture with routine healing
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • Psubsequent encounter for fracture with malunion
  • Ssequela

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

A fracture in a patient with known osteoporosis is coded from M80 when the trauma would not usually break a normal bone. M81 has no site component.

Guidelines I.C.13.dOsteoporosis with and without pathological fractureRead the official text

7th character A applies while the patient is in active treatment, regardless of which provider sees them. D is for routine care during healing after active treatment ends.

Guidelines I.C.13.cPathological fractures: the 7th characterRead the official text

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code to identify major osseous defect, if applicable (M89.7-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • personal history of (healed) osteoporosis fracture (Z87.310)
Also from chapter/block level (10 notes)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Includes

Further defines or gives examples of the content of the category.

This code
  • osteoporosis with current fragility fracture

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

More specific codes under M80 2