M80.86Non-billable
Other osteoporosis with current pathological fracture, lower leg
Chapter 13: Diseases of the musculoskeletal system and connective tissue
Coding Guidance
M80.86 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.
Additional Information from Parent Codes
The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.
Parent Codes Referenced:
Inclusion Terms
6 items
Inclusion Terms
From M80.8:
- •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
Includes
1 item
Includes
From M80:
- •osteoporosis with current fragility fracture
Excludes2
11 items
Excludes2
From M00-M99:
- •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-)
- •
- •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)
Use Additional Code
2 items
Use Additional Code
From M80.8:
- •code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Notes
1 item
Notes
From M00-M99:
- •Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
7th Character Notes
7 items
7th Character Notes
From M80:
- •The 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