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Home/Diagnosis/ICD-10 Coding for Sacral Insufficiency Fracture

ICD-10 Coding for Sacral Insufficiency Fracture

M80.08
M80.88

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

Also Known as:
Osteoporotic Sacral Fracture
Pathological Sacral Fracture
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Key Information: ICD-10 Coding for Sacral Insufficiency Fracture

Essential facts and insights about ICD-10 Coding for Sacral Insufficiency Fracture

Use ICD-10 code M80.08 for age-related osteoporosis with current pathological fracture, vertebra, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Age-related osteoporosis with current pathological fracture, vertebra

Non-Billable
M80.08
Non-Billable

Diagnostic Criteria

  • • DXA T-score ≤-2.5
  • • Imaging showing insufficiency fracture pattern

Applicable To

  • • Osteoporotic sacral fracture

Important Notes

  • • Ensure documentation specifies osteoporosis as the underlying cause.

Other osteoporosis with current pathological fracture, vertebra

Non-Billable
M80.88
Non-Billable

Diagnostic Criteria

  • • Imaging confirmation of fracture
  • • Clinical history of osteoporosis

Applicable To

  • • Non-age-related osteoporotic sacral fracture

Important Notes

  • • Documentation must clearly indicate osteoporosis as the cause.
Ancillary Codes

Additional codes that may be used with this diagnosis

S32.10XD

Fracture of sacrum, subsequent encounter for fracture with routine healing

Use to specify the fracture site in conjunction with M80.08.

Z87.310

Personal history of osteoporosis fracture

Use to document history of osteoporosis-related fractures.

Frequently Asked Questions

What is the ICD-10 code for sacral insufficiency fracture?

The ICD-10 code for sacral insufficiency fracture due to osteoporosis is M80.08, while M80.88 is used for other osteoporosis-related fractures.

How do you code a sacral insufficiency fracture?

Code M80.08 for age-related osteoporosis with fracture, and M80.88 for other osteoporosis-related fractures. Include S32.10XD for fracture site specification.

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