Is ICD-10-CM code M80-M94 billable?

No, M80-M94 (Osteopathies and chondropathies (M80-M94)) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code M80-M94 belong to?

M80-M94 belongs to Chapter 13 of the ICD-10-CM tabular list: M00–M99 (Diseases of the Musculoskeletal System and Connective Tissue).

M80-M94Not billable, use a more specific code below

Osteopathies and chondropathies (M80-M94)

chapter 13: Diseases of the Musculoskeletal System and Connective Tissue

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Section I.C.13.d Osteoporosis (page 61), covers M80-M94
Use M81 when there is no current pathologic fracture, adding Z87.310 for a history of osteoporosis fracture. Use M80, not a traumatic fracture code, for a current fracture from trauma that would not break a healthy bone.

M80-M94 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

Osteoporosis

Osteoporosis is a disease in which your bones become weak and are likely to fracture (break). The disease can develop when your bone mineral density and bone mass decrease. It can also happen if the structure and strength of your bones change.