M81.8

M81.8: Other osteoporosis without current pathological fracture

Billable / specific codeICD-10-CM

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.

Check M81.8 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

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

Excludes1 inherited from the categories above M81.8

A category’s note binds every code beneath it.

Written on M81: Osteoporosis without current pathological fracture

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

Other codes that can never be billed with M81.8

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

K91.2Postsurgical malabsorption, not elsewhere classified

Risk adjustment

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

Medicare coverage

M81.8 is named in 22 Medicare coverage policies: 15 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58883Billing 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