M81.0: Age-related osteoporosis without current pathological fracture
Billable ICD-10-CM code, FY2027
What ICD-10-CM says
Includes
- Involutional osteoporosis without current pathological fracture
- Osteoporosis NOS
- Postmenopausal osteoporosis without current pathological fracture
- Senile osteoporosis without current pathological fracture
Notes at M81, Osteoporosis without current pathological fracture (they apply to every code under it)
Excludes1 (never coded with M81.0)
- osteoporosis with current pathological fracture (M80.-)
- Sudeck's atrophy (M89.0)
Use additional code
- code to identify:
- major osseous defect, if applicable (M89.7-)
- personal history of (healed) osteoporosis fracture, if applicable (Z87.310)
What M81.0 covers
M81.0 is for age-related osteoporosis when the patient has no current fracture caused by it. It includes postmenopausal, senile and involutional osteoporosis, and osteoporosis NOS.
Primary care, endocrinology, rheumatology and OB-GYN use it. Localized osteoporosis is M81.6 and other osteoporosis is M81.8. Once the patient has a current pathological fracture from osteoporosis, the code moves to category M80.
Billing and coding notes
The guidelines say osteoporosis is a systemic condition, so the site is not part of M81 codes. For a patient with known osteoporosis, a fracture from a minor fall that would not break a healthy bone is coded in M80, not as a traumatic fracture.
M81 asks for additional codes, if applicable, for a major osseous defect (M89.7-) and a personal history of a healed osteoporosis fracture (Z87.310). The excludes1 list rules out M80.- and Sudeck's atrophy (M89.0) with this code.
Related codes under M81
Questions about M81.0
What is the difference between M81.0 and M80.0?
M81.0 is age-related osteoporosis without a current pathological fracture. M80.0- is age-related osteoporosis with a current pathological fracture, and needs site, laterality and a seventh character.
Can M81.0 be coded with Z87.310?
Yes. The M81 category asks for Z87.310 when the patient has a personal history of a healed osteoporosis fracture.
ICD-10-CM in CloudMedico
In CloudMedico, a visit's diagnoses come from the current ICD-10-CM list. For US practices, the visit flags a code that isn't billable on its date, and a superbill made from an invoice carries the visit's diagnoses.
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