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Osteoporosis – With or Without Pathological Fracture

Age-Related Osteoporosis with Current Pathological Fracture

Report category M80.0 codes when a patient with age-related osteoporosis has a “fragility” fracture from a minor fall or trauma.

ICD-10 combination codes classify:

  • Type of osteoporosis
  • Site of pathological fracture
  • Laterality
  • Encounter episode
ICD-10 Code Description
M80.08XA Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter
M80.051A Age-related osteoporosis with current pathological fracture, right femur, initial encounter

When coding pathological fractures, use the seventh character A (initial episode) through the entire course of treatment for the fracture.

Age-Related Osteoporosis without Current Pathological Fracture

Report category M81.0 codes when a patient has age-related osteoporosis without a current pathological fracture.

Note: If the patient has a history of a pathological fracture that has healed, first code the osteoporosis and then the history of pathological fracture due to osteoporosis.

ICD-10 Code Description
M81.0 Age-related osteoporosis without current pathological fracture
Z87.310 Personal history of (healed) osteoporosis fracture

 

If you have any questions, email CodingCounts@healthalliance.org.