M80

Osteoporosis with current pathological fracture

Non-billableCategory

7th Character Required

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

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

Coding Guidelines

Includes

  • osteoporosis with current fragility fracture

Excludes1 (Mutually Exclusive)

These codes should never be used together with M80

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

Excludes2 (Not Included Here)

These conditions are not part of this code but may be reported additionally if documented

  • Z87.310 - personal history of (healed) osteoporosis fracture (Z87.310)

Use Additional Code

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

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