ICDcodes.org
FY2027

M80 — Osteoporosis with current pathological fracture

Not billable

Is M80 billable?

No — M80 is a non-billable header code. M80 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 60 billable codes beneath M80.

Billable codes under this header

M80 at a glance

CodeM80
DescriptionOsteoporosis with current pathological fracture
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with M80 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)

Use additional code

Report an additional code alongside M80 to fully describe the condition. M80 is sequenced first.

  • code to identify major osseous defect, if applicable (M89.7-)

Excludes2 — not included here

The conditions below are not part of M80, but a patient may have both at the same time. When documentation supports it, M80 and the excluded code may both be reported.

  • personal history of (healed) osteoporosis fracture (Z87.310)

Includes

Conditions classified to M80.

  • osteoporosis with current fragility fracture

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M80, but a patient may have both at the same time. When documentation supports it, M80 and the excluded code may both be reported.

  • 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)

What codes fall under M80? (2)

How long has M80 existed?

M80 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with M80?

ICD-10-CM declares these codes mutually exclusive with M80 — exactly one of each pair can be correct for a given encounter.