M80.80 — Other osteoporosis with current pathological fracture, unspecified site
Is M80.80 billable?
No — M80.80 is a non-billable header code. M80.80 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 6 billable codes beneath M80.80.
Billable codes under this header
- M80.80XAOther osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture
- M80.80XDOther osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with routine healing
- M80.80XGOther osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing
- M80.80XKOther osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with nonunion
- M80.80XPOther osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with malunion
- M80.80XSOther osteoporosis with current pathological fracture, unspecified site, sequela
M80.80 at a glance
| Code | M80.80 |
|---|---|
| Description | Other osteoporosis with current pathological fracture, unspecified site |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M80.80 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M80.80. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Osteoporosis › disuse › with current pathological fracture (female) (male)
- Osteoporosis › specified type NEC › with pathological fracture (female) (male)
Excludes1 — never code together — inherited from M80
The conditions below can never be reported together with M80.80 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from M80
Report an additional code alongside M80.80 to fully describe the condition. M80.80 is sequenced first.
- code to identify major osseous defect, if applicable (M89.7-)
Use additional code — inherited from M80.8
Report an additional code alongside M80.80 to fully describe the condition. M80.80 is sequenced first.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M80.80, but a patient may have both at the same time. When documentation supports it, M80.80 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 M80.80, but a patient may have both at the same time. When documentation supports it, M80.80 and the excluded code may both be reported.
- personal history of (healed) osteoporosis fracture (Z87.310)
What codes fall under M80.80? (6)
- M80.80XAOther osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture
- M80.80XDOther osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with routine healing
- M80.80XGOther osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing
- M80.80XKOther osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with nonunion
- M80.80XPOther osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with malunion
- M80.80XSOther osteoporosis with current pathological fracture, unspecified site, sequela
How long has M80.80 existed?
M80.80 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 conditions are coded to M80.80?
What other codes are in the M80.8 family? (10)
- M80.81Other osteoporosis with pathological fracture, shouldernot billable
- M80.82Other osteoporosis with current pathological fracture, humerusnot billable
- M80.83Other osteoporosis with current pathological fracture, forearmnot billable
- M80.84Other osteoporosis with current pathological fracture, handnot billable
- M80.85Other osteoporosis with current pathological fracture, femurnot billable
- M80.86Other osteoporosis with current pathological fracture, lower legnot billable
- M80.87Other osteoporosis with current pathological fracture, ankle and footnot billable
- M80.88Other osteoporosis with current pathological fracture, vertebra(e)not billable
- M80.8AOther osteoporosis with current pathological fracture, other sitenot billable
- M80.8BOther osteoporosis with current pathological fracture, pelvisnot billable