M81.8 — Other osteoporosis without current pathological fracture
M81.8 is a billable, specific ICD-10-CM code for other osteoporosis without current pathological fracture. It is valid for submission on a claim.
Use additional code
Add a secondary code to capture the detail described below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Drug-induced osteoporosis without current pathological fracture
- Idiopathic osteoporosis without current pathological fracture
- Osteoporosis of disuse without current pathological fracture
- Postoophorectomy osteoporosis without current pathological fracture
- Postsurgical malabsorption osteoporosis without current pathological fracture
- Post-traumatic osteoporosis without current pathological fracture
Other codes that can never be billed with M81.8
These codes carry an Excludes1 note pointing at M81.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M81.8 alone.
- K91.2Postsurgical malabsorption, not elsewhere classified
Risk adjustment
M81.8 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
M81.8 is named in 27 Medicare coverage policies — 21 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M81.8 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M81.8.
- Osteoporosis›disuse
- Osteoporosis›specified type NEC
Related codes at this level
Codes that share M81. If M81.8 is not quite right, the correct code is usually one of these.
Questions about M81.8
- Is M81.8 a billable ICD-10-CM code?
- Yes. M81.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M81.8 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of bone density and structure (M80-M85).