ICD-10 Code for Personal history of (healed) traumatic fracture- Z87. 81- Codify by AAPC.
ICD-10 code M80. 08XA for Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture is a medical classification as listed by WHO under the range - Osteopathies and chondropathies .
Personal history of (healed) traumatic fracture Z87. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z87. 81 became effective on October 1, 2021.
A pathologic bone fracture due to osteoporosis. It is generally caused by a fall from a standing height or lower and usually involves the spine, hip, or wrist. Breaks in bones resulting from low bone mass and microarchitectural deterioration characteristic of osteoporosis.
Osteoporosis without current pathological fracture A condition that is marked by a decrease in bone mass and density, causing bones to become fragile.
Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter for fracture. M80. 08XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M80.
D (subsequent encounter) describes any encounter after the active phase of treatment, when the patient is receiving routine care for the injury during the period of healing or recovery. S (sequela) indicates a complication or condition that arises as a direct result of an injury.
Sequela refers to residual effects after the acute phase of the fracture has healed. Use the 7th character “S”, on the fracture code that precipitated the injury and the sequela code itself coding the sequela first then the fracture.
When the visit is for the purpose of deciding what treatment is required to repair the fracture, it is an initial encounter. Likewise, when the visit results in a changed active plan of care, it is an initial encounter.
Consistent with current clinical experience, the fractures rated most likely due to osteoporosis were the femoral neck, pathologic fractures of the vertebrae, and lumbar and thoracic vertebral fractures. The fractures rated least likely due to osteoporosis were open proximal humerus fractures, skull, and facial bones.
A vertebral fracture may occur spontaneously and thus be more easily identified as occurring due to a disease (e.g. osteoporosis) and, therefore, coded as a pathologic fracture (ICD9 733.13).
Compression fractures Bone fractures, particularly in the spine or hip, are the most serious complications of osteoporosis. Hip fractures often are caused by a fall and can result in disability and even an increased risk of death within the first year after the injury.
Osteoporosis without current pathological fracture. If the patient does not have current pathological fracture, you should select a code from the M81 series (even if the patient had pathological fracture in the past). A sixth digit indicates laterality. For example:
Risk factors for osteoporosis are aging, hypocalcemia, vitamin D deficiency, and osteomalacia. Osteoporosis is an asymptomatic unless complications (e.g., fracture) occur. Loss of bone mass leads to loss of bone strength, such that even a trivial trauma may be severe enough to cause a fracture.
Other osteoporosis with current pathological fracture, which includes: The M80 series of codes is appropriate for either age-related osteoporosis or other osteoporosis, with current pathological frac ture.
Causes may include senility (old age), inadequate intake of calcium and vitamin D, and protein deficiency.
Osteoporosis also may be related to endocrinal conditions, such as Cushing syndrome, hyperthyroid state, thyrotoxicosis, and diabetes mellitus. Finally, osteoporosis may be drug induced, for instance as a result of long-term steroid therapy.