M80.811 — Other osteoporosis with current pathological fracture, right shoulder
Is M80.811 billable?
No — M80.811 is a non-billable header code. M80.811 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 M80.811.
Billable codes under this header
- M80.811AOther osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture
- M80.811DOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with routine healing
- M80.811GOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with delayed healing
- M80.811KOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with nonunion
- M80.811POther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with malunion
- M80.811SOther osteoporosis with current pathological fracture, right shoulder, sequela
M80.811 at a glance
| Code | M80.811 |
|---|---|
| Description | Other osteoporosis with current pathological fracture, right shoulder |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M80.811 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M80.81, the nearest indexed parent of M80.811. Use them to find the family, then select the specific code.
- Osteoporosis › disuse › with current pathological fracture › clavicle (female) (male)
- Osteoporosis › disuse › with current pathological fracture › scapula (female) (male)
- Osteoporosis › specified type NEC › with pathological fracture › clavicle (female) (male)
- Osteoporosis › specified type NEC › with pathological fracture › scapula (female) (male)
Excludes1 — never code together — inherited from M80
The conditions below can never be reported together with M80.811 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 M80.811 to fully describe the condition. M80.811 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 M80.811 to fully describe the condition. M80.811 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 M80.811, but a patient may have both at the same time. When documentation supports it, M80.811 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 M80.811, but a patient may have both at the same time. When documentation supports it, M80.811 and the excluded code may both be reported.
- personal history of (healed) osteoporosis fracture (Z87.310)
What codes fall under M80.811? (6)
- M80.811AOther osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture
- M80.811DOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with routine healing
- M80.811GOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with delayed healing
- M80.811KOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with nonunion
- M80.811POther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with malunion
- M80.811SOther osteoporosis with current pathological fracture, right shoulder, sequela
How long has M80.811 existed?
M80.811 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.