ICDcodes.org
FY2027

M80.85 — Other osteoporosis with current pathological fracture, femur

Not billable

Is M80.85 billable?

No — M80.85 is a non-billable header code. M80.85 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 18 billable codes beneath M80.85.

Billable codes under this header

M80.85 at a glance

CodeM80.85
DescriptionOther osteoporosis with current pathological fracture, femur
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

How is M80.85 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to M80.85. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Osteoporosis › disuse › with current pathological fracture › femur (female) (male)
  • Osteoporosis › disuse › with current pathological fracture › hip (female) (male)
  • Osteoporosis › specified type NEC › with pathological fracture › femur (female) (male)
  • Osteoporosis › specified type NEC › with pathological fracture › hip (female) (male)

Inclusion terms

Alternative wording in documentation that is classified to M80.85.

  • Other osteoporosis with current pathological fracture of hip

Excludes1 — never code together — inherited from M80

The conditions below can never be reported together with M80.85 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 M80.85 to fully describe the condition. M80.85 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 M80.85 to fully describe the condition. M80.85 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 M80.85, but a patient may have both at the same time. When documentation supports it, M80.85 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 M80.85, but a patient may have both at the same time. When documentation supports it, M80.85 and the excluded code may both be reported.

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

What codes fall under M80.85? (3)

How long has M80.85 existed?

M80.85 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 M80.85?

What other codes are in the M80.8 family? (10)