ICDcodes.org
FY2027

M80.872GOther osteoporosis with current pathological fracture, left ankle and foot, subsequent encounter for fracture with delayed healing

Billable

Is M80.872G billable?

Yes — M80.872G is billable for FY2027. M80.872G is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M80.872G may be submitted for encounters from October 1, 2026 through September 30, 2027.

M80.872G at a glance

CodeM80.872G
DescriptionOther osteoporosis with current pathological fracture, left ankle and foot, 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 M80.872G?

In M80.872G, the 7th character G means subsequent encounter for fracture with delayed healing. The 7th character is required for M80.872G to be a valid, complete code.

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

Which MS-DRGs does M80.872G group to?

M80.872G sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
  • 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
  • 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical

How is M80.872G listed in the Alphabetic Index?

The Alphabetic Index lists these routes under M80.87, the nearest indexed parent of M80.872G. Use them to find the family, then select the specific code.

  • Osteoporosisdisusewith current pathological fracturemetatarsus (female) (male)
  • Osteoporosisdisusewith current pathological fracturetarsus (female) (male)
  • Osteoporosisdisusewith current pathological fracturetoe (female) (male)
  • Osteoporosisspecified type NECwith pathological fracturemetatarsus (female) (male)
  • Osteoporosisspecified type NECwith pathological fracturetarsus (female) (male)
  • Osteoporosisspecified type NECwith pathological fracturetoe (female) (male)

Excludes1 — never code together — inherited from M80

The conditions below can never be reported together with M80.872G 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 M80.872G to fully describe the condition. M80.872G 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 M80.872G to fully describe the condition. M80.872G 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 M80.872G, but a patient may have both at the same time. When documentation supports it, M80.872G 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 M80.872G, but a patient may have both at the same time. When documentation supports it, M80.872G and the excluded code may both be reported.

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

How long has M80.872G existed?

M80.872G 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.