M81.0

Age-related osteoporosis without current pathological fracture

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

BillableComplete code, valid to report

M81.0 (also written M810) is a billable ICD-10-CM diagnosis code for age-related osteoporosis without current pathological fracture. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 3 codes in category M81 (Osteoporosis without current pathological fracture). The Alphabetic Index lists it under 3 entries. Its coding notes include a Use additional code instruction, 2 Excludes1 entries and 10 Excludes2 entries.

Guidelines tip

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

Use additional code

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

Inherited from M81 Osteoporosis without current pathological fracture
  • code to identify:
    • major osseous defect, if applicable (M89.7-)
    • personal history of (healed) osteoporosis fracture, if applicable (Z87.310)

Excludes1

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

Inherited from M81 Osteoporosis without current pathological fracture
  • osteoporosis with current pathological fracture (M80.-)
  • Sudeck's atrophy (M89.0)

Excludes2

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

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)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Inclusion terms

Conditions classified to this code.

This code
  • Involutional osteoporosis without current pathological fracture
  • Osteoporosis NOS
  • Postmenopausal osteoporosis without current pathological fracture
  • Senile osteoporosis without 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

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 3 entries