MCMedicalCodingSoftware
M81

M81: Osteoporosis without current pathological fracture

Non-billable headerICD-10-CM

M81 is a non-billable header ICD-10-CM code for osteoporosis without current pathological fracture. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • osteoporosis with current pathological fracture (M80.-)
  • Sudeck's atrophy (M89.0)

Use additional code

Add a secondary code to capture the detail described below.

  • code to identify:
  • major osseous defect, if applicable (M89.7-)
  • personal history of (healed) osteoporosis fracture, if applicable (Z87.310)

Other codes that can never be billed with M81

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

  • K91.2Postsurgical malabsorption, not elsewhere classified
  • R29.890Loss of height

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 M81

3 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.