Alphabetic Index FY2027

M80.0

Age-related 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.

M80.0 is a non-billable ICD-10-CM code header for age-related 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 M80.00 Age-related osteoporosis with current pathological fracture, unspecified site; M80.01 Age-related osteoporosis with current pathological fracture, shoulder; M80.02 Age-related osteoporosis with current pathological fracture, humerus; M80.03 Age-related osteoporosis with current pathological fracture, forearm and 7 more. 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 (defined at M80).

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.

Inherited from M80 Osteoporosis with current pathological fracture
  • code to identify major osseous defect, if applicable (M89.7-)

Excludes1

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

Inherited from M80 Osteoporosis with current pathological fracture
  • 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.

Inherited from M80 Osteoporosis with current pathological fracture
  • 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.

Inherited from M80 Osteoporosis with current pathological fracture
  • osteoporosis with current fragility fracture

Inclusion terms

Conditions classified to this code.

This code
  • Involutional osteoporosis with current pathological fracture
  • Osteoporosis NOS with current pathological fracture
  • Postmenopausal osteoporosis with current pathological fracture
  • Senile osteoporosis with current pathological 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 M80.0 11