Coding and coverage · ICD-10-CM
M80 › M80.8 › M80.85 › M80.852
M80.852K Other osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with nonunion
7th character K: subsequent encounter for fracture with nonunion
Instructional notes
Chapter 13
Excludes2Not included here: the patient may have both; report both when both are present.
- 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)
Notes
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
M80
Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
Excludes2Not included here: the patient may have both; report both when both are present.
- personal history of (healed) osteoporosis fracture (Z87.310)
Use additional codeAdd a second code for the full picture.
- code to identify major osseous defect, if applicable (M89.7-)
Includes
- osteoporosis with current fragility fracture
7th charactersThe appropriate 7th character is to be added to each code from category M80:
- A initial encounter for fracture
- D subsequent encounter for fracture with routine healing
- G subsequent encounter for fracture with delayed healing
- K subsequent encounter for fracture with nonunion
- P subsequent encounter for fracture with malunion
- S sequela
M80.8
Use additional codeAdd a second code for the full picture.
Inclusion terms
- Drug-induced osteoporosis with current pathological fracture
- Idiopathic osteoporosis with current pathological fracture
- Osteoporosis of disuse with current pathological fracture
- Postoophorectomy osteoporosis with current pathological fracture
- Postsurgical malabsorption osteoporosis with current pathological fracture
- Post-traumatic osteoporosis with current pathological fracture
M80.85
Inclusion terms
- Other osteoporosis with current pathological fracture of hip
Chapter 13: Diseases of the musculoskeletal system and connective tissue · M80-M94 Osteopathies and chondropathies (M80-M94)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.