M80

Non-Billable
ChapterM00–M99
Rankcategory
Official Description

Osteoporosis with current pathological fracture

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).

CH13 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Instructional Notes

Includes
  • osteoporosis with current fragility fracture
Excludes1(Not coded here. Use a different code.)
  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)
Excludes2(Not included here. Code separately if applicable.)
  • personal history of (healed) osteoporosis fracture (Z87.310)
Use Additional Code
  • code to identify major osseous defect, if applicable (M89.7-)

Clinical Hierarchy

BillableHas subcodes
CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)
M80-M85Disorders of bone density and structure (M80-M85)
M80Osteoporosis with current pathological fractureNot billable
M80.0Age-related osteoporosis with current pathological fractureSubcodes
M80.8Other osteoporosis with current pathological fractureSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M80:

chapterCH13
Diseases of the musculoskeletal system and connective tissue (M00-M99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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