M80.87

M80.87: Other osteoporosis with current pathological fracture, ankle and foot

Non-billable headerICD-10-CM

M80.87 is a non-billable header ICD-10-CM code for other osteoporosis with current pathological fracture, ankle and foot. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

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

Excludes1 inherited from the categories above M80.87

A category’s note binds every code beneath it.

Written on M80: Osteoporosis with current pathological fracture

collapsed vertebra NOS (M48.5)
pathological fracture NOS (M84.4)
wedging of vertebra NOS (M48.5)

Excludes2 inherited from the categories above M80.87

Not part of this code, but both may be coded when both are present.

Written on M80: Osteoporosis with current pathological fracture

personal history of (healed) osteoporosis fracture (Z87.310)

Other codes that can never be billed with M80.87

Their own Excludes1 notes name this code, so the conflict is not listed above.

E55Vitamin D deficiency
M43Other deforming dorsopathies
M48.4Fatigue fracture of vertebra
M48.5Collapsed vertebra, not elsewhere classified
M81Osteoporosis without current pathological fracture
M84.3Stress fracture
M84.4Pathological fracture, not elsewhere classified
M84.6Pathological fracture in other disease

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M80.87

3 child codes. Green means billable.