Effective from
- First observed
Osteoporosis with current pathological fracture
Category — select a more specific code
CDC/NCHS · FY2016A — 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
code to identify major osseous defect, if applicable (M89.7-)
personal history of (healed) osteoporosis fracture (Z87.310)
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
No recorded change since first observation
Effective from
Osteoporosis with current pathological fracture
Category — select a more specific code
CDC/NCHS · FY2016| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
osteoporosis with current fragility fracture
personal history of (healed) osteoporosis fracture (Z87.310)
code to identify major osseous defect, if applicable (M89.7-)
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
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Official titles and instructions are preserved in their source language. Official sources ↗
Excludes 1 · osteoporosis (M80.-)
Excludes 1 · osteoporosis (M80.-)
Excludes 1 · spinal curvature in osteoporosis (M80.-)
Excludes 1 · pathological fracture of vertebra due to osteoporosis (M80.-)
Excludes 1 · pathological fracture of vertebra due to osteoporosis (M80.-)
Excludes 1 · osteoporosis with current pathological fracture (M80.-)
Excludes 1 · pathological fracture due to osteoporosis (M80.-)
Excludes 1 · pathological fracture in osteoporosis (M80.-)
Excludes 1 · pathological fracture in osteoporosis (M80.-)
Code first · osteoporosis (M80.-, M81.-)
Excludes 2 · disorders associated with osteoporosis (M80)
Excludes 1 · osteoporosis (M80-M81)
Code also · osteoporosis (M80.-)