Category · FY2027
M80 Osteoporosis with current pathological fracture
- Header · not billable
- Codes take a 7th character
M80 is not billable. The category heads 324 billable codes in FY2027, grouped under 2 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.
Index → code
Where it sits
- Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99)
- M80-M85 Disorders of bone density and structure (M80-M85)
- M80 Osteoporosis with current pathological fracture
- Billable codes
- 324
- Subdivisions
- 2
- CC / MCC codes
- 162 / 0
- HCC V28 codes
- 8
- New FY2027
- 0
- Index entries
- 101
Codes in M80
- M80.0Age-related osteoporosis with current pathological fractureHeader
Inclusion terms 4
Inclusion terms
- Involutional osteoporosis with current pathological fracture
- Osteoporosis NOS with current pathological fracture
- Postmenopausal osteoporosis with current pathological fracture
- Senile osteoporosis with current pathological fracture
- M80.00Age-related osteoporosis with current pathological fracture, unspecified site +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.01Age-related osteoporosis with current pathological fracture, shoulderHeader
- M80.011Age-related osteoporosis with current pathological fracture, right shoulder +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.012Age-related osteoporosis with current pathological fracture, left shoulder +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.019Age-related osteoporosis with current pathological fracture, unspecified shoulder +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.02Age-related osteoporosis with current pathological fracture, humerusHeader
- M80.021Age-related osteoporosis with current pathological fracture, right humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.022Age-related osteoporosis with current pathological fracture, left humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.029Age-related osteoporosis with current pathological fracture, unspecified humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.03Age-related osteoporosis with current pathological fracture, forearmHeader
Inclusion terms 1
Inclusion terms
- Age-related osteoporosis with current pathological fracture of wrist
- M80.031Age-related osteoporosis with current pathological fracture, right forearm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.032Age-related osteoporosis with current pathological fracture, left forearm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.039Age-related osteoporosis with current pathological fracture, unspecified forearm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.04Age-related osteoporosis with current pathological fracture, handHeader
- M80.041Age-related osteoporosis with current pathological fracture, right hand +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.042Age-related osteoporosis with current pathological fracture, left hand +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.049Age-related osteoporosis with current pathological fracture, unspecified hand +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.05Age-related osteoporosis with current pathological fracture, femurHeader
Inclusion terms 1
Inclusion terms
- Age-related osteoporosis with current pathological fracture of hip
- M80.051Age-related osteoporosis with current pathological fracture, right femur +7th: A D G K P SNeeds 7th characterCC A K P402 (some 7th characters)Exempt: 5 of 6 7th characters
- M80.052Age-related osteoporosis with current pathological fracture, left femur +7th: A D G K P SNeeds 7th characterCC A K P402 (some 7th characters)Exempt: 5 of 6 7th characters
- M80.059Age-related osteoporosis with current pathological fracture, unspecified femur +7th: A D G K P SNeeds 7th characterCC A K P402 (some 7th characters)Exempt: 5 of 6 7th characters
- M80.06Age-related osteoporosis with current pathological fracture, lower legHeader
- M80.061Age-related osteoporosis with current pathological fracture, right lower leg +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.062Age-related osteoporosis with current pathological fracture, left lower leg +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.069Age-related osteoporosis with current pathological fracture, unspecified lower leg +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.07Age-related osteoporosis with current pathological fracture, ankle and footHeader
- M80.071Age-related osteoporosis with current pathological fracture, right ankle and foot +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.072Age-related osteoporosis with current pathological fracture, left ankle and foot +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.079Age-related osteoporosis with current pathological fracture, unspecified ankle and foot +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.08Age-related osteoporosis with current pathological fracture, vertebra(e) +7th: A D G K P SNeeds 7th characterCC A K P401 (some 7th characters)Exempt: 5 of 6 7th characters
- M80.0AAge-related osteoporosis with current pathological fracture, other site +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.0BAge-related osteoporosis with current pathological fracture, pelvisHeader
- M80.0B1Age-related osteoporosis with current pathological fracture, right pelvis +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.0B2Age-related osteoporosis with current pathological fracture, left pelvis +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.0B9Age-related osteoporosis with current pathological fracture, unspecified pelvis +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.8Other osteoporosis with current pathological fractureHeader
Inclusion terms 6, Use additional code 1
Inclusion terms
- Drug-induced osteoporosis with current pathological fracture
- Idiopathic osteoporosis with current pathological fracture
- Osteoporosis of disuse with current pathological fracture
- Postoophorectomy osteoporosis with current pathological fracture
- Postsurgical malabsorption osteoporosis with current pathological fracture
- Post-traumatic osteoporosis with current pathological fracture
- M80.80Other osteoporosis with current pathological fracture, unspecified site +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.81Other osteoporosis with pathological fracture, shoulderHeader
- M80.811Other osteoporosis with current pathological fracture, right shoulder +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.812Other osteoporosis with current pathological fracture, left shoulder +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.819Other osteoporosis with current pathological fracture, unspecified shoulder +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.82Other osteoporosis with current pathological fracture, humerusHeader
- M80.821Other osteoporosis with current pathological fracture, right humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.822Other osteoporosis with current pathological fracture, left humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.829Other osteoporosis with current pathological fracture, unspecified humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.83Other osteoporosis with current pathological fracture, forearmHeader
Inclusion terms 1
Inclusion terms
- Other osteoporosis with current pathological fracture of wrist
- M80.831Other osteoporosis with current pathological fracture, right forearm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.832Other osteoporosis with current pathological fracture, left forearm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.839Other osteoporosis with current pathological fracture, unspecified forearm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.84Other osteoporosis with current pathological fracture, handHeader
- M80.841Other osteoporosis with current pathological fracture, right hand +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.842Other osteoporosis with current pathological fracture, left hand +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.849Other osteoporosis with current pathological fracture, unspecified hand +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.85Other osteoporosis with current pathological fracture, femurHeader
Inclusion terms 1
Inclusion terms
- Other osteoporosis with current pathological fracture of hip
- M80.851Other osteoporosis with current pathological fracture, right femur +7th: A D G K P SNeeds 7th characterCC A K P402 (some 7th characters)Exempt: 5 of 6 7th characters
- M80.852Other osteoporosis with current pathological fracture, left femur +7th: A D G K P SNeeds 7th characterCC A K P402 (some 7th characters)Exempt: 5 of 6 7th characters
- M80.859Other osteoporosis with current pathological fracture, unspecified femur +7th: A D G K P SNeeds 7th characterCC A K P402 (some 7th characters)Exempt: 5 of 6 7th characters
- M80.86Other osteoporosis with current pathological fracture, lower legHeader
- M80.861Other osteoporosis with current pathological fracture, right lower leg +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.862Other osteoporosis with current pathological fracture, left lower leg +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.869Other osteoporosis with current pathological fracture, unspecified lower leg +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.87Other osteoporosis with current pathological fracture, ankle and footHeader
- M80.871Other osteoporosis with current pathological fracture, right ankle and foot +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.872Other osteoporosis with current pathological fracture, left ankle and foot +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.879Other osteoporosis with current pathological fracture, unspecified ankle and foot +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.88Other osteoporosis with current pathological fracture, vertebra(e) +7th: A D G K P SNeeds 7th characterCC A K P401 (some 7th characters)Exempt: 5 of 6 7th characters
- M80.8AOther osteoporosis with current pathological fracture, other site +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.8BOther osteoporosis with current pathological fracture, pelvisHeader
- M80.8B1Other osteoporosis with current pathological fracture, right pelvis +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.8B2Other osteoporosis with current pathological fracture, left pelvis +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- M80.8B9Other osteoporosis with current pathological fracture, unspecified pelvis +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.
Instructions
At M80
Includes
- osteoporosis with current fragility fracture
Excludes1
Excludes2
- personal history of (healed) osteoporosis fracture (Z87.310) Z87.310
Use additional code
- code to identify major osseous defect, if applicable (M89.7-) M89.7
Notes that also apply
Chapter 13 instructions (Notes 1, Excludes2 10): printed on the chapter 13 page.
7th characters
7th characters for M80 defined here
The appropriate 7th character is to be added to each code from category M80:
| 7th | Meaning (NCHS) |
|---|---|
| A | initial encounter for fracture |
| D | subsequent encounter for fracture with routine healing |
| G | subsequent encounter for fracture with delayed healing |
| K | subsequent encounter for fracture with nonunion |
| P | subsequent encounter for fracture with malunion |
| S | sequela |
A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.
Index entries
- Osteoporosis (female) (male)›with current pathological fracture → M80.00
- Fracture, pathological (pathologic)›due to›osteoporosis → M80.00
- Osteoporosis (female) (male)›age-related›with current pathologic fracture → M80.00
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture → M80.00
- Osteoporosis (female) (male)›disuse›with current pathological fracture → M80.80
- Osteoporosis (female) (male)›specified type NEC›with pathological fracture → M80.80
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›clavicle → M80.01-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›scapula → M80.01-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›clavicle → M80.01-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›scapula → M80.01-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›humerus → M80.02-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›humerus → M80.02-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›radius → M80.03-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›ulna → M80.03-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›radius → M80.03-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›ulna → M80.03-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›carpus → M80.04-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›finger → M80.04-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›metacarpus → M80.04-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›carpus → M80.04-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›finger → M80.04-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›metacarpus → M80.04-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›femur → M80.05-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›hip → M80.05-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›femur → M80.05-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›hip → M80.05-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›fibula → M80.06-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›tibia → M80.06-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›fibula → M80.06-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›tibia → M80.06-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›metatarsus → M80.07-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›tarsus → M80.07-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›toe → M80.07-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›metatarsus → M80.07-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›tarsus → M80.07-
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›toe → M80.07-
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›vertebra → M80.08
- Osteoporosis (female) (male)›postmenopausal›with pathological fracture›vertebra → M80.08
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›rib(s) → M80.0A
- Osteoporosis (female) (male)›age-related›with current pathologic fracture›site specified NEC → M80.0A
61 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.