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    v1.0.28
    OpenPayerBilling CodesDisorders of bone density and structureICD-10-CM m80-osteoporosis-with-pathological-fracture
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    ICD-10-CM Code For Osteoporosis With Current Pathological Fracture: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group M80 includes osteoporosis with current pathological fracture, capturing diagnoses where decreased bone density has led to an acute or ongoing fracture. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving osteoporotic fractures, their anatomical site, and whether the fracture is recent or healed. Accurate coding within the ICD-10-CM M80 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM M80: Osteoporosis With Current Pathological Fracture Overview

    The ICD-10-CM M80 group represents osteoporosis with a current pathological fracture, affecting bone strength and structural integrity. These diagnoses target the skeletal system and complications where osteoporotic bone gives way to fractures with minimal trauma. Accurate coding matters for complete clinical documentation and appropriate reimbursement because it signals current fracture status and severity.

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    When to Use

    Use a code from this group when a patient has osteoporosis and a contemporaneous fracture attributable to bone fragility is documented. Select the specific code that corresponds to the anatomical site and fracture status as documented in the medical record.

    ICD-10-CM Codes

    324 rows

    ICD-10-CM CodeDescription
    M80.00XAAge-related osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture
    M80.00XDAge-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with routine healing
    M80.00XGAge-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing
    M80.00XKAge-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with nonunion
    M80.00XPAge-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with malunion
    M80.00XSAge-related osteoporosis with current pathological fracture, unspecified site, sequela
    M80.011AAge-related osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture
    M80.011DAge-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with routine healing
    M80.011GAge-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with delayed healing
    M80.011KAge-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with nonunion
    M80.011PAge-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with malunion
    M80.011SAge-related osteoporosis with current pathological fracture, right shoulder, sequela
    M80.012AAge-related osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture
    M80.012DAge-related osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with routine healing
    M80.012GAge-related osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with delayed healing
    M80.012KAge-related osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with nonunion
    M80.012PAge-related osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with malunion
    M80.012SAge-related osteoporosis with current pathological fracture, left shoulder, sequela
    M80.019AAge-related osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture
    M80.019DAge-related osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with routine healing

    Showing 1–20 of 324

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    DRG Codes

    15 rows

    DRG CodeDescription
    521Hip Replacement with Principal Diagnosis of Hip Fracture with MCC
    522Hip Replacement with Principal Diagnosis of Hip Fracture without MCC
    542Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC
    543Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC
    544Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC
    551Medical Back Problems with MCC
    552Medical Back Problems without MCC
    559Aftercare, Musculoskeletal System and Connective Tissue with MCC
    560Aftercare, Musculoskeletal System and Connective Tissue with CC
    561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC
    564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
    565Other Musculoskeletal System and Connective Tissue Diagnoses with CC
    566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems

    Typical Clinical Scenarios

    • An elderly woman with known osteoporosis who slips at home and presents to the emergency department with acute severe hip pain and inability to bear weight; imaging confirms a displaced femoral neck fracture through osteoporotic bone requiring urgent orthopedic evaluation and surgical fixation. A code from this group is assigned because the fracture is a current pathologic fracture due to underlying osteoporosis and it is the reason for the ED visit and treatment. Typical codes: M80.052A, M80.051A
    • A frail nursing home resident with long‑standing osteoporosis develops progressive wrist pain after minimal trauma and is seen in clinic weeks later for persistent pain and deformity; radiographs show a heal­ing distal radius fracture through osteoporotic bone and the encounter documents routine follow‑up care for the fracture. A code from this group is used to indicate a current pathologic fracture from osteoporosis being managed in an outpatient setting. Typical codes: M80.021D, M80.022D
    • A postmenopausal woman hospitalized for congestive heart failure is found on inpatient evaluation to have an acute vertebral compression fracture after a recent coughing spell, causing new back pain and prolonged immobility; the fracture is attributed to underlying osteoporosis and complicates the hospital course. A code from this group is assigned to capture the current pathologic vertebral fracture as a comorbidity affecting inpatient management. Typical codes: M80.00XA, M80.00XD

    Related Codes

    M81-OSTEOPOROSIS-WITHOUT-FRACTURE

    ICD-10-CM Code For Osteoporosis Without Current Pathological Fracture: Group Overview

    M83-ADULT-OSTEOMALACIA

    ICD-10-CM Code For Adult Osteomalacia: Group Overview

    M84-DISORDER-OF-CONTINUITY-OF-BONE

    ICD-10-CM Code For Disorder Of Continuity Of Bone: Group Overview

    M85-OTHER-BONE-DENSITY-DISORDERS

    ICD-10-CM Code For Other Disorders Of Bone Density And Structure: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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