M80.02
Age-related osteoporosis with current pathological fracture, humerus
M80.02 is a non-billable ICD-10-CM code header for age-related osteoporosis with current pathological fracture, humerus. 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 M80.021 Age-related osteoporosis with current pathological fracture, right humerus; M80.022 Age-related osteoporosis with current pathological fracture, left humerus and M80.029 Age-related osteoporosis with current pathological fracture, unspecified humerus. 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.
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.
Use additional code
Add the listed code as a secondary code, if known.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- personal history of (healed) osteoporosis fracture (Z87.310)
Also from chapter/block level (10 notes)
- 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.
- osteoporosis with current fragility fracture
Notes
Also from chapter/block level (1 note)
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 2 entries