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Home/Diagnosis/ICD-10 Coding for Osteoporosis

ICD-10 Coding for Osteoporosis

M80.0XXA
M81.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for osteoporosis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Brittle Bone Disease
Porous Bone
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Key Information: ICD-10 Coding for Osteoporosis

Essential facts and insights about ICD-10 Coding for Osteoporosis

Use ICD-10 code M80.0XXA for postmenopausal osteoporosis with current pathological fracture, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Postmenopausal osteoporosis with current pathological fracture, initial encounter

Non-Billable
M80.0XXA
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of a new fracture in a postmenopausal patient with osteoporosis
documentation:
  • • Detailed fracture description including site and laterality

Applicable To

  • • Postmenopausal osteoporosis with fracture

Important Notes

  • • Ensure documentation specifies the fracture as pathological due to osteoporosis.

Osteoporosis without current pathological fracture

Billable Code
M81.0
Billable

Diagnostic Criteria

clinical:
  • • T-score ≤-2.5 on DEXA
  • • Absence of current fractures

Applicable To

  • • Senile osteoporosis
  • • Age-related osteoporosis

Important Notes

  • • Ensure documentation reflects the absence of current fractures.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z87.310

Personal history of osteoporosis fracture

Use to document a history of fractures in patients with osteoporosis.

Z13.820

Encounter for screening for osteoporosis

Use for preventive screening encounters.

Frequently Asked Questions

What is the ICD-10 code for osteoporosis with fracture?

The ICD-10 code for osteoporosis with a current pathological fracture is M80.0XXA, which specifies the encounter type and fracture site.

How do you code osteoporosis without fracture?

Osteoporosis without a current fracture is coded as M81.0. Use Z87.310 for a history of fractures.

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