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Home/Diagnosis/ICD-10 Coding for Postmenopausal Osteoporosis

ICD-10 Coding for Postmenopausal Osteoporosis

M80.0-
M81.0

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

Also Known as:
Osteoporosis in postmenopausal women
Menopausal osteoporosis
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Key Information: ICD-10 Coding for Postmenopausal Osteoporosis

Essential facts and insights about ICD-10 Coding for Postmenopausal Osteoporosis

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

Primary ICD-10-CM Codes

Postmenopausal osteoporosis with current pathological fracture

Non-Billable
M80.0-
Non-Billable

Diagnostic Criteria

  • • Presence of a current pathological fracture in a postmenopausal patient

Applicable To

  • • Osteoporosis with fracture due to postmenopausal status

Important Notes

  • • Ensure to document the fracture site, laterality, and encounter type.

Postmenopausal osteoporosis without current pathological fracture

Billable Code
M81.0
Billable

Diagnostic Criteria

  • • T-score ≤-2.5 at lumbar spine/hip via DXA

Applicable To

  • • Osteoporosis without fracture in postmenopausal women

Important Notes

  • • Ensure to document the absence of current fractures.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.83

Long-term bisphosphonate use

Use when the patient is on long-term bisphosphonate therapy.

Z87.310

Personal history of osteoporosis fracture

Use when documenting a history of healed fractures.

Frequently Asked Questions

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

The ICD-10 code for postmenopausal osteoporosis with a current pathological fracture is M80.0-, which requires additional specificity for the fracture site and encounter type.

How do you code postmenopausal osteoporosis without fracture?

Use ICD-10 code M81.0 for postmenopausal osteoporosis without a current fracture. Ensure documentation supports the absence of fractures.

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