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

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group M81 includes diagnoses for osteoporosis without a current pathological fracture, covering primary osteoporosis and secondary osteoporosis due to underlying conditions or medications. These ICD-10-CM diagnosis codes are used to document bone density loss, fracture risk assessment, and the presence of contributing systemic or iatrogenic factors. Accurate coding within the ICD-10-CM M81 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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ICD-10-CM M81: Osteoporosis Without Current Pathological Fracture Overview

The diagnoses in this group represent reduced bone density and structural weakness without an accompanying pathological fracture, affecting the skeletal system and increasing fracture risk. These codes capture primary and secondary forms of osteoporosis and related clinical distinctions. Accurate coding matters for appropriate claim adjudication and documentation of patient disease burden.

When to Use

Use a code from this group when a patient has documented osteoporosis by clinical assessment or bone density testing but does not have a current pathologic fracture. Apply the specific code to reflect whether the osteoporosis is primary or secondary based on documented etiology.

ICD-10-CM Codes

3 rows

ICD-10-CM Code	Description
M81.0	Age-related osteoporosis without current pathological fracture
M81.6	Localized osteoporosis [Lequesne]
M81.8	Other osteoporosis without current pathological fracture

DRG Codes

2 rows

DRG Code	Description
553	Bone Diseases and Arthropathies with MCC
554	Bone Diseases and Arthropathies without MCC

Typical Clinical Scenarios

A 72-year-old postmenopausal woman presents to her primary care clinic for routine follow-up after a DEXA scan shows a T-score in the osteoporotic range but she has no history of fragility fracture. She reports progressive height loss and back discomfort but no acute injury; the diagnosis is used to document decreased bone density without a current pathological fracture. Typical codes: M81.0, M81.8
A 68-year-old man with long-term corticosteroid therapy for chronic COPD attends an endocrinology visit for management of medication-related bone loss discovered on bone density testing; there is no evidence of a current fracture. The encounter documents chronic osteoporosis as a comorbidity that influences treatment decisions and monitoring. Typical codes: M81.8, M81.6
A 55-year-old woman with early menopause and family history of osteoporosis presents to an outpatient metabolic bone clinic for evaluation and preventive care after screening identifies low bone mass without any recent falls or fractures. The diagnosis is recorded to denote osteoporosis without a current pathological fracture and to guide risk reduction strategies. Typical codes: M81.0, M81.8

ICD-10-CM Code For Osteoporosis With 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.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.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.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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When to Use

ICD-10-CM Codes

3 rows

ICD-10-CM Code	Description
M81.0	Age-related osteoporosis without current pathological fracture
M81.6	Localized osteoporosis [Lequesne]
M81.8	Other osteoporosis without current pathological fracture

DRG Codes

2 rows

DRG Code	Description
553	Bone Diseases and Arthropathies with MCC
554	Bone Diseases and Arthropathies without MCC

Typical Clinical Scenarios

A 72-year-old postmenopausal woman presents to her primary care clinic for routine follow-up after a DEXA scan shows a T-score in the osteoporotic range but she has no history of fragility fracture. She reports progressive height loss and back discomfort but no acute injury; the diagnosis is used to document decreased bone density without a current pathological fracture. Typical codes: M81.0, M81.8
A 68-year-old man with long-term corticosteroid therapy for chronic COPD attends an endocrinology visit for management of medication-related bone loss discovered on bone density testing; there is no evidence of a current fracture. The encounter documents chronic osteoporosis as a comorbidity that influences treatment decisions and monitoring. Typical codes: M81.8, M81.6
A 55-year-old woman with early menopause and family history of osteoporosis presents to an outpatient metabolic bone clinic for evaluation and preventive care after screening identifies low bone mass without any recent falls or fractures. The diagnosis is recorded to denote osteoporosis without a current pathological fracture and to guide risk reduction strategies. Typical codes: M81.0, M81.8

ICD-10-CM Code For Osteoporosis With 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.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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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

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ICD-10-CM M81: Osteoporosis Without Current Pathological Fracture Overview

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

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ICD-10-CM M81: Osteoporosis Without Current Pathological Fracture Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

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

Sign up for ICD-10-CM Code For Osteoporosis Without Current Pathological Fracture: Group Overview policy alerts

ICD-10-CM M81: Osteoporosis Without Current Pathological Fracture Overview

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

Sign up for ICD-10-CM Code For Osteoporosis Without Current Pathological Fracture: Group Overview policy alerts

ICD-10-CM M81: Osteoporosis Without Current Pathological Fracture Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What conditions does the ICD-10-CM group `M81` cover?

Which individual ICD-10-CM codes are included in the `M81` group?

How does accurate coding within `M81` affect billing and reimbursement?

Are there related DRGs associated with the `M81` group that coders should note?

What clinical distinctions should be documented to justify the selection of a specific `M81` code?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What conditions does the ICD-10-CM group `M81` cover?

Which individual ICD-10-CM codes are included in the `M81` group?

How does accurate coding within `M81` affect billing and reimbursement?

Are there related DRGs associated with the `M81` group that coders should note?

What clinical distinctions should be documented to justify the selection of a specific `M81` code?

References