M80

ICD-10Non-billable category

Osteoporosis with current pathological fracture

Official ICD-10-CM descriptor (FY2026)

Osteoporosis with current pathological fracture

M80 is a category heading, not a billable code. CMS does not accept it on a claim; report one of the more specific codes beneath it.

Includes

  • osteoporosis with current fragility fracture

Excludes1

Not coded here. An Excludes1 code should never be reported at the same time as the code above it.

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

Excludes2

Not included here. The condition is not part of this code, but a patient may have both, and both codes may be reported together.

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

Use additional code

Report an additional code to identify the associated condition.

  • code to identify major osseous defect, if applicable (M89.7-)

7th character

  • The appropriate 7th character is to be added to each code from category M80:

Permitted 7th characters

Ainitial encounter for fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Psubsequent encounter for fracture with malunion
Ssequela

More specific codes under M80

Where this code sits

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Source

ICD-10-CM FY2026. Centers for Medicare & Medicaid Services (CMS) / National Center for Health Statistics (NCHS), “2026 ICD-10-CM Code Descriptions in Tabular Order” (icd10cm_order_2026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.

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