icd-10 dx code for borderline osteoporosis

by Flavie Pacocha 10 min read

Other osteoporosis without current pathological fracture
M81. 8 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 M81. 8 became effective on October 1, 2021.

Full Answer

What is the ICD 10 code for age-related osteoporosis?

2016 2017 2018 2019 2020 2021 Billable/Specific Code Adult Dx (15-124 years) M81.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Age-related osteoporosis w/o current pathological fracture The 2021 edition of ICD-10-CM M81.0 became effective on October 1, 2020.

What is the CPT code for osteoporosis with current pathological fracture?

Age-related osteoporosis or other osteoporosis, with current pathological fracture can be reported usingM80 series of codes. Codes are selected based on the anatomical site of the fracture, not the location of the osteoporosis. M80 Osteoporosis with current pathological fracture.

What is the M80 code for osteoporosis?

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

What is the ICD 10 code for bone density disorder?

Other specified disorders of bone density and structure, unspecified site. M85.80 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M85.80 became effective on October 1, 2018.

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What is the ICD 10 code for osteoporosis unspecified?

733.00 - Osteoporosis, unspecified. ICD-10-CM.

What is osteoporosis without current pathological fracture?

Osteoporosis without current pathological fracture A condition that is marked by a decrease in bone mass and density, causing bones to become fragile.

What is adult idiopathic generalized osteoporosis?

Abstract. Definition: Idiopathic osteoporosis refers to the development of osteopenia and fractures with minimal or no trauma in otherwise young, healthy individuals who are not postmenopausal or have other, identifiable secondary causes of osteoporosis.

How do you code osteoporosis?

Basics of Osteoporosis ICD 10 CodingThe billable ICD 10 code for osteoporosis, unspecifed is M81. ... M81 Osteoporosis without current pathological fracture. ... M81.0 Age-related osteoporosis without current pathological fracture. ... M81.6 Localized osteoporosis [Lequesne]More items...•

What is the ICD 10 code for osteoporosis without current pathological fracture?

Code M81. 0 is the diagnosis code used for Age-Related Osteoporosis without Current Pathological Fracture.

What is the most common pathologic fracture associated with osteoporosis?

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.

What are the three stages of osteoporosis?

The stages of OsteoporosisOsteoblasts vs Osteoclasts. Active Osteoblasts. ... Peak bone density and the first stages of osteopenia and osteoporosis. ... The second stage of osteopenia and osteoporosis. ... The third stage of osteopenia and osteoporosis. ... The fourth stage of osteopenia and osteoporosis.

What are the types of osteoporosis?

Two categories of osteoporosis have been identified: primary and secondary. Primary osteoporosis is the most common form of the disease and includes postmenopausal osteoporosis (type I), and senile osteoporosis (type II). Secondary osteoporosis is characterized as having a clearly definable etiologic mechanism.

What is the ICD-10 code for history of osteoporosis?

Personal history of (healed) osteoporosis fracture Z87. 310 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. 310 became effective on October 1, 2021.

What is localized osteoporosis?

Localized osteoporosis in the context used indicates osteoporosis affecting either part of one bone or several bones in a chain. Osteoporosis is also used interchangeably with decreased bone density or osteopenia if there is little likelihood of osteomalacia.

What is the diagnosis code for postmenopausal osteoporosis?

M85. 8 Other specified disorders of bone density and structure.

Is osteoporosis a HCC code?

Category M80, Osteoporosis with current pathological fracture (HCC 169) should be used when a patient with known osteoporosis suffers a fracture, even if the patient had a minor fall or trauma that would not normally break a healthy bone.

What is the ICd 10 code for osteoporosis?

Osteoporosis without current pathological fracture 1 M81 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM M81 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of M81 - other international versions of ICD-10 M81 may differ.

When will the ICd 10-CM M81 be released?

The 2022 edition of ICD-10-CM M81 became effective on October 1, 2021.

What is the code for osteoporosis without pathological fracture?

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:

What are the risk factors for osteoporosis?

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.

What is the M80 code?

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.

What causes bone loss?

Causes may include senility (old age), inadequate intake of calcium and vitamin D, and protein deficiency.

Is osteoporosis a steroid?

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.

What is a bone disorder?

A disorder characterized by reduced bone mass, with a decrease in cortical thickness and in the number and size of the trabeculae of cancellous bone ( but normal chemical composition), resulting in increased fracture incidence.

Why do women get osteoporosis?

It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency. Osteoporosis makes your bones weak and more likely to break. Anyone can develop osteoporosis, but it is common in older women.

What is the term for a condition of reduced bone mass, with decreased cortical thickness and a decrease in?

A condition of reduced bone mass, with decreased cortical thickness and a decrease in the number and size of the trabeculae of cancellous bone (but normal chemical composition), resulting in increased fracture incidence. Osteoporosis is classified as primary (type 1, postmenopausal osteoporosis; type 2, age-associated osteoporosis; and idiopathic, which can affect juveniles, premenopausal women, and middle-aged men) and secondary osteoporosis (which results from an identifiable cause of bone mass loss).

What is the term for the reduction of bone mass without alteration in the composition of bone, leading to fractures?

Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (osteoporosis, postmenopausal) and age-related or senile osteoporosis.

What is the cause of loss of bone mass and strength?

Loss of bone mass and strength due to nutritional, metabolic, or other factors, usually resulting in deformity or fracture; a major public health problem of the elderly, especially women. Metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm.

When will the ICD-10-CM M81.0 be released?

The 2022 edition of ICD-10-CM M81.0 became effective on October 1, 2021.

Is osteoporosis a primary or secondary condition?

Osteoporosis is classified as primary (type 1, postmenopausal osteoporosis; type 2, age-associated osteoporosis; and idiopathic, which can affect juveniles, premenopausal women, and middle-aged men) and secondary osteoporosis (which results from an identifiable cause of bone mass loss).

What is the ICd 10 code for osteoporosis?

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)

What is a pathologic fracture?

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.

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