ICDcodes.org
FY2027

M80.0B1GAge-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing

Billable

Is M80.0B1G billable?

Yes — M80.0B1G is billable for FY2027. M80.0B1G is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M80.0B1G may be submitted for encounters from October 1, 2026 through September 30, 2027.

M80.0B1G at a glance

CodeM80.0B1G
DescriptionAge-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with delayed healing
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "G"subsequent encounter for fracture with delayed healing

What does the 7th character "G" mean in M80.0B1G?

In M80.0B1G, the 7th character G means subsequent encounter for fracture with delayed healing. The 7th character is required for M80.0B1G to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does M80.0B1G group to?

M80.0B1G sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 521Hip Replacement with Principal Diagnosis of Hip Fracture with MCCsurgical
  • 522Hip Replacement with Principal Diagnosis of Hip Fracture without MCCsurgical

How is M80.0B1G listed in the Alphabetic Index?

The Alphabetic Index lists these routes under M80.0B, the nearest indexed parent of M80.0B1G. Use them to find the family, then select the specific code.

  • Osteoporosisage-relatedwith current pathologic fractureilium (female) (male)
  • Osteoporosisage-relatedwith current pathologic fractureischium (female) (male)
  • Osteoporosisage-relatedwith current pathologic fracturepelvis (female) (male)
  • Osteoporosisage-relatedwith current pathologic fracturepubic ramus [pubis] (female) (male)
  • Osteoporosispostmenopausalwith pathological fracturepelvis (female) (male)

Excludes1 — never code together — inherited from M80

The conditions below can never be reported together with M80.0B1G 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 — inherited from M80

Report an additional code alongside M80.0B1G to fully describe the condition. M80.0B1G is sequenced first.

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

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M80.0B1G, but a patient may have both at the same time. When documentation supports it, M80.0B1G 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)

Excludes2 — not included here — inherited from M80

The conditions below are not part of M80.0B1G, but a patient may have both at the same time. When documentation supports it, M80.0B1G and the excluded code may both be reported.

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

How long has M80.0B1G existed?

M80.0B1G first appears in FY2024.

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