M80
Non-Billable

Osteoporosis with current pathological fracture

Non-Billable / Non-Specific Code

What is Osteoporosis with current pathological fracture?

ICD-10-CM M80 is the diagnosis code for Osteoporosis with current pathological fracture. This code falls under the section "Disorders of bone density and structure" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for M80

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as M80. They are mutually exclusive:

  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in M80. If the patient has both, code each condition separately:

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

ICD-10-CM Code Hierarchy

Understanding where M80 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeM80 — Osteoporosis with current pathological fracture
Sub-Codes (2)
Sub-Codes 2 entries
M80.0Age-related osteoporosis with current pathological fractureNon-BillableM80.00Age-related osteoporosis with current pathological fracture, unspecified siteBillableM80.01Age-related osteoporosis with current pathological fracture, shoulderNon-BillableM80.011Age-related osteoporosis with current pathological fracture, right shoulderBillableM80.012Age-related osteoporosis with current pathological fracture, left shoulderBillableM80.019Age-related osteoporosis with current pathological fracture, unspecified shoulderBillableM80.02Age-related osteoporosis with current pathological fracture, humerusNon-BillableM80.021Age-related osteoporosis with current pathological fracture, right humerusBillableM80.022Age-related osteoporosis with current pathological fracture, left humerusBillableM80.029Age-related osteoporosis with current pathological fracture, unspecified humerusBillableM80.03Age-related osteoporosis with current pathological fracture, forearmNon-BillableM80.031Age-related osteoporosis with current pathological fracture, right forearmBillableM80.032Age-related osteoporosis with current pathological fracture, left forearmBillableM80.039Age-related osteoporosis with current pathological fracture, unspecified forearmBillableM80.04Age-related osteoporosis with current pathological fracture, handNon-BillableM80.041Age-related osteoporosis with current pathological fracture, right handBillableM80.042Age-related osteoporosis with current pathological fracture, left handBillableM80.049Age-related osteoporosis with current pathological fracture, unspecified handBillableM80.05Age-related osteoporosis with current pathological fracture, femurNon-BillableM80.051Age-related osteoporosis with current pathological fracture, right femurBillableM80.052Age-related osteoporosis with current pathological fracture, left femurBillableM80.059Age-related osteoporosis with current pathological fracture, unspecified femurBillableM80.06Age-related osteoporosis with current pathological fracture, lower legNon-BillableM80.061Age-related osteoporosis with current pathological fracture, right lower legBillableM80.062Age-related osteoporosis with current pathological fracture, left lower legBillableM80.069Age-related osteoporosis with current pathological fracture, unspecified lower legBillableM80.07Age-related osteoporosis with current pathological fracture, ankle and footNon-BillableM80.071Age-related osteoporosis with current pathological fracture, right ankle and footBillableM80.072Age-related osteoporosis with current pathological fracture, left ankle and footBillableM80.079Age-related osteoporosis with current pathological fracture, unspecified ankle and footBillableM80.08Age-related osteoporosis with current pathological fracture, vertebra(e)BillableM80.0AAge-related osteoporosis with current pathological fracture, other siteBillableM80.0BAge-related osteoporosis with current pathological fracture, pelvisNon-BillableM80.0B1Age-related osteoporosis with current pathological fracture, right pelvisBillableM80.0B2Age-related osteoporosis with current pathological fracture, left pelvisBillableM80.0B9Age-related osteoporosis with current pathological fracture, unspecified pelvisBillableM80.8Other osteoporosis with current pathological fractureNon-BillableM80.80Other osteoporosis with current pathological fracture, unspecified siteBillableM80.81Other osteoporosis with pathological fracture, shoulderNon-BillableM80.811Other osteoporosis with current pathological fracture, right shoulderBillableM80.812Other osteoporosis with current pathological fracture, left shoulderBillableM80.819Other osteoporosis with current pathological fracture, unspecified shoulderBillableM80.82Other osteoporosis with current pathological fracture, humerusNon-BillableM80.821Other osteoporosis with current pathological fracture, right humerusBillableM80.822Other osteoporosis with current pathological fracture, left humerusBillableM80.829Other osteoporosis with current pathological fracture, unspecified humerusBillableM80.83Other osteoporosis with current pathological fracture, forearmNon-BillableM80.831Other osteoporosis with current pathological fracture, right forearmBillableM80.832Other osteoporosis with current pathological fracture, left forearmBillableM80.839Other osteoporosis with current pathological fracture, unspecified forearmBillableM80.84Other osteoporosis with current pathological fracture, handNon-BillableM80.841Other osteoporosis with current pathological fracture, right handBillableM80.842Other osteoporosis with current pathological fracture, left handBillableM80.849Other osteoporosis with current pathological fracture, unspecified handBillableM80.85Other osteoporosis with current pathological fracture, femurNon-BillableM80.851Other osteoporosis with current pathological fracture, right femurBillableM80.852Other osteoporosis with current pathological fracture, left femurBillableM80.859Other osteoporosis with current pathological fracture, unspecified femurBillableM80.86Other osteoporosis with current pathological fracture, lower legNon-BillableM80.861Other osteoporosis with current pathological fracture, right lower legBillableM80.862Other osteoporosis with current pathological fracture, left lower legBillableM80.869Other osteoporosis with current pathological fracture, unspecified lower legBillableM80.87Other osteoporosis with current pathological fracture, ankle and footNon-BillableM80.871Other osteoporosis with current pathological fracture, right ankle and footBillableM80.872Other osteoporosis with current pathological fracture, left ankle and footBillableM80.879Other osteoporosis with current pathological fracture, unspecified ankle and footBillableM80.88Other osteoporosis with current pathological fracture, vertebra(e)BillableM80.8AOther osteoporosis with current pathological fracture, other siteBillableM80.8BOther osteoporosis with current pathological fracture, pelvisNon-BillableM80.8B1Other osteoporosis with current pathological fracture, right pelvisBillableM80.8B2Other osteoporosis with current pathological fracture, left pelvisBillableM80.8B9Other osteoporosis with current pathological fracture, unspecified pelvisBillable
Related Codes

Frequently Asked Questions

Is M80 a billable ICD-10-CM code?

No, M80 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does M80 mean?

M80 is the ICD-10-CM diagnosis code for "Osteoporosis with current pathological fracture". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is M80 in?

M80 is located in Section M80-M85 — "Disorders of bone density and structure" within Chapter 13 of the ICD-10-CM Tabular List.

What are the sub-codes of M80?

M80 has 2 sub-code(s) that provide more specific detail: M80.0, M80.8.

When should I use M80?

Use M80 when the patients documented diagnosis matches "Osteoporosis with current pathological fracture" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Osteoporosis with current pathological fracture?

The ICD-10-CM code for Osteoporosis with current pathological fracture is M80.

Can M80 be used for primary diagnosis?

No, M80 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is M80 in?

M80 is in Chapter 13 of the ICD-10-CM Tabular List.

What conditions are excluded from M80?

Type 1 Excludes for M80 include: collapsed vertebra NOS (M48.5); pathological fracture NOS (M84.4); wedging of vertebra NOS (M48.5).

Is M80 valid for 2026?

Yes, M80 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM79.A9Nontraumatic compartment syndrome of other sitesNext →M80.0Age-related osteoporosis with current pathological fracture
Code Details
M80
Osteoporosis with current pathological fracture
Non-Billable / Non-Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M80-M85 — Disorders of bone density and structure
2026 ICD-10-CM