2018/2019 ICD-10-CM Diagnosis Code M80.08XA. 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 M80 series of codes is appropriate for either age-related osteoporosis or other osteoporosis, with current pathological fracture. Codes are selected according to the anatomical site of the fracture, not the location of the osteoporosis. 3. Osteoporosis without current pathological fracture
This is the American ICD-10-CM version of M48.54XA - other international versions of ICD-10 M48.54XA may differ. pathological fracture of vertebra due to osteoporosis ( M80.-)
2021 ICD-10-CM Diagnosis Code S22.05 Fracture of T5-T6 vertebra 2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code S22.05 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
ICD-10 Code for Wedge compression fracture of T5-T6 vertebra, initial encounter for closed fracture- S22. 050A- Codify by AAPC.
ICD-10 Code for Personal history of (healed) traumatic fracture- Z87. 81- Codify by AAPC.
Osteoporosis without current pathological fracture A condition that is marked by a decrease in bone mass and density, causing bones to become fragile.
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.
It would depend on the nature of the fracture, but in general I'd code it as an initial encounter. It's no different from coding a fresh fracture - find the correct bone, then the correct side, then the correct type of fracture, then the encounter type.
A code from category M80, not a traumatic fracture code, should be used for any patient with known osteoporosis who suffers a fracture even if the patient had a minor fall or trauma (that would typically not break a healthy bone).
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.
0 – Age-Related Osteoporosis without Current Pathological Fracture. ICD-Code M81. 0 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Age-Related Osteoporosis without Current Pathological Fracture.
733.00 - Osteoporosis, unspecified. ICD-10-CM.
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 .
M85. 8 Other specified disorders of bone density and structure.
A pathologic fracture is a break in a bone that is caused by an underlying disease. At the Spine Hospital at the Neurological Institute of New York, we specialize in pathologic fractures of vertebrae, or bones of the spine. For the most part, bones need a reason to break–for example, a significant trauma.
Osteoporosis with current pathological fracture M80- 1 collapsed vertebra NOS (#N#ICD-10-CM Diagnosis Code M48.5#N#Collapsed vertebra, not elsewhere classified#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Applicable To#N#Collapsed vertebra NOS#N#Compression fracture of vertebra NOS#N#Wedging of vertebra NOS#N#Type 1 Excludes#N#current injury - see Injury of spine, by body region#N#fatigue fracture of vertebra ( M48.4)#N#pathological fracture of vertebra due to neoplasm ( M84.58)#N#pathological fracture of vertebra due to other diagnosis ( M84.68)#N#pathological fracture of vertebra due to osteoporosis ( M80.-)#N#pathological fracture NOS ( M84.4-)#N#stress fracture of vertebra ( M48.4-)#N#traumatic fracture of vertebra ( S12.-, S22.-, S32.-)#N#M48.5) 2 pathological fracture NOS (#N#ICD-10-CM Diagnosis Code M84.4#N#Pathological fracture, not elsewhere classified#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Applicable To#N#Chronic fracture#N#Pathological fracture NOS#N#Type 1 Excludes#N#collapsed vertebra NEC ( M48.5)#N#pathological fracture in neoplastic disease ( M84.5-)#N#pathological fracture in osteoporosis ( M80.-)#N#pathological fracture in other disease ( M84.6-)#N#stress fracture ( M84.3-)#N#traumatic fracture ( S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)#N#Type 2 Excludes#N#personal history of (healed) pathological fracture ( Z87.311)#N#M84.4) 3 wedging of vertebra NOS (#N#ICD-10-CM Diagnosis Code M48.5#N#Collapsed vertebra, not elsewhere classified#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Applicable To#N#Collapsed vertebra NOS#N#Compression fracture of vertebra NOS#N#Wedging of vertebra NOS#N#Type 1 Excludes#N#current injury - see Injury of spine, by body region#N#fatigue fracture of vertebra ( M48.4)#N#pathological fracture of vertebra due to neoplasm ( M84.58)#N#pathological fracture of vertebra due to other diagnosis ( M84.68)#N#pathological fracture of vertebra due to osteoporosis ( M80.-)#N#pathological fracture NOS ( M84.4-)#N#stress fracture of vertebra ( M48.4-)#N#traumatic fracture of vertebra ( S12.-, S22.-, S32.-)#N#M48.5)
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.
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.
The 2022 edition of ICD-10-CM M48.54XA became effective on October 1, 2021.
542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc