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M80.011Non-billableSave

M80.011 - Age-related osteoporosis with current pathological fracture, right shoulder

ICD-10-CM Chapter 13: Diseases of the musculoskeletal system and connective tissue · M80-M85 Disorders of bone density and structure (M80-M85) · Subcategory of M80.01 · FY2027

Coding Guidance

M80.011 requires a 7th character. Report the code below that matches the documentation, for example A for initial encounter for fracture, D for subsequent encounter for fracture with routine healing, G for subsequent encounter for fracture with delayed healing.

7th Character

The appropriate 7th character is to be added to each code from category M80:

Includes, Excludes and Coding Notes

IncludesFrom M80

Conditions this code covers.

  • osteoporosis with current fragility fracture
Excludes 1 — Not Coded HereFrom M80

Mutually exclusive: these conditions are never reported together with this code.

  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)
Excludes 2 — Not Included HereFrom M80

Not part of this code; report both codes when the patient has both conditions.

  • personal history of (healed) osteoporosis fracture (Z87.310)
Use Additional CodeFrom M80

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify major osseous defect, if applicable (M89.7-)
Excludes 2 — Not Included HereFrom Chapter M00-M99

Not part of this code; report both codes when the patient has both conditions.

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
NotesFrom Chapter M00-M99

Instructional notes from the ICD-10-CM tabular list.

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

More Specific Codes (6)

M80.011AAge-related osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture→M80.011DAge-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with routine healing→M80.011GAge-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with delayed healing→M80.011KAge-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with nonunion→M80.011PAge-related osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with malunion→M80.011SAge-related osteoporosis with current pathological fracture, right shoulder, sequela→

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with M80.011.