Question 1

Is M80 a billable ICD-10 code?

Accepted Answer

No, M80 is not a billable code. It is a category code that requires additional specificity. You must select a more specific code from the subcategories for billing purposes.

Question 2

What does ICD-10 code M80 mean?

Accepted Answer

ICD-10-CM code M80 represents Osteoporosis with current pathological fracture. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code M80 introduced?

Accepted Answer

Code M80 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code M80?

Accepted Answer

The parent category for M80 is section:M80-M85 (Disorders of bone density and structure (M80-M85)). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions are excluded from M80?

Accepted Answer

Code M80 has Type 1 Excludes (mutually exclusive conditions) including: collapsed vertebra NOS (M48.5); pathological fracture NOS (M84.4); wedging of vertebra NOS (M48.5). These conditions cannot be coded together with M80 as they represent different diagnoses.

Question 6

Should I use additional codes with M80?

Accepted Answer

Yes, when coding M80, consider adding codes for: code to identify major osseous defect, if applicable (M89.7-). Additional codes provide more specificity about the patient's condition.

Question 7

Does M80 require a 7th character extension?

Accepted Answer

Yes, M80 requires a 7th character to specify the encounter type. Available extensions include: A (initial encounter for fracture), D (subsequent encounter for fracture with routine healing), G (subsequent encounter for fracture with delayed healing) and 3 more options. Use "X" as a placeholder to fill empty positions before the 7th character (e.g., M80XXA for initial encounter). The extension indicates whether this is an initial visit, follow-up, or treatment for a late effect.

M802026

Excludes13Not coded together

Excludes211Not included here

Use Additional Code1Add code for detail

Notes1Additional information

Includes1Included conditions

7th Character Extensions3Encounter type specifiers