
Osteoporosis is a chronic condition that causes bones to become weak and brittle, making them more prone to fractures.
In medical billing and coding, accurate use of ICD-10 codes for osteoporosis is crucial for proper documentation, reimbursement, and patient care tracking.
This guide covers Osteoporosis ICD-10 codes with and without fracture, including special cases such as postmenopausal, steroid-induced, and unspecified types.
Osteoporosis is a bone disease where decreased bone density increases the risk of fractures. It is often referred to as a “silent disease” because patients may not notice symptoms until a fracture occurs.
Common risk factors include:
Lifestyle factors (smoking, poor nutrition, low physical activity
Osteoporosis ICD-10 codes fall primarily under the M80–M82 category. The codes differ based on whether a pathological fracture is present.
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Screening and History Codes
Accurately coding Osteoporosis ICD-10 is essential for proper billing, treatment tracking, and reimbursement. Whether it’s M81.0 for age-related osteoporosis or M80.x for osteoporosis with fracture, correct coding helps providers and payers manage this chronic condition effectively.
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Osteoporosis ICD-10 codes fall under M80–M81, depending on whether there is a current pathological fracture.
Osteoporosis without current pathological fracture is coded as M81.x, such as M81.0 for age-related osteoporosis.
Osteoporosis with a current pathological fracture is coded as M80.x, such as M80.0 for age-related osteoporosis with fracture.
The correct code for screening is Z13.820.
Use Z87.310 for a personal history of healed osteoporosis fractures.
Postmenopausal osteoporosis is coded as M81.1 (without fracture) or M80.1 (with fracture).
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