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M80.811Non-billableSave

M80.811 - Other 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 M80.81 · FY2027

Coding Guidance

M80.811 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

Use Additional CodeFrom M80.8

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

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
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)

M80.811AOther osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture→M80.811DOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with routine healing→M80.811GOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with delayed healing→M80.811KOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with nonunion→M80.811POther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with malunion→M80.811SOther osteoporosis with current pathological fracture, right shoulder, sequela→

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with M80.811.