Osteoporosis is a chronic bone condition characterized by the loss of bone mass and density, leading to fragile bones and an increased risk of fractures. Often called the silent disease, it progresses without symptoms until a fracture occurs.
Common risk factors include:
Osteoporosis ICD-10-CM codes fall within categories M80–M82 of the 2025 edition of ICD-10-CM, effective on October 1, 2024, under the American ICD-10-CM version.
These billable specific ICD-10-CM codes are used for diagnosis and reimbursement purposes and distinguish between patients with and without current pathological fractures.
These codes apply when osteoporosis is diagnosed, but no active fracture is present:
Each of these represents a billable specific ICD-10-CM diagnosis code valid in 2020, 2021, 2022, 2023, 2024, and 2025 editions.
These codes are used when the patient currently has a pathological fracture associated with osteoporosis:
Note: When coding M80, also report the specific fracture site for complete documentation and proper linkage.
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These codes ensure proper clinical context and help with tracking preventive screenings and prior fracture events.
Osteopenia refers to mild bone density loss that hasn’t yet progressed to osteoporosis.
Use:
These are also billable specific ICD-10-CM codes recognized under the 2025 edition of ICD-10-CM.
Always review the Type 2 Excludes notes and context annotation back references in the ICD-10-CM manual. These notes indicate conditions that may occur simultaneously but are coded separately.
Such as, Osteoporosis with fracture (M80) and osteoporosis without fracture (M81) cannot be coded together for the same site.
Annotations and back references refer to codes within the same chapter for better cross-referencing and compliance.
These codes apply to annotations and preventive encounters and are vital for Medicare and private payer coverage of bone density scans (DEXA tests).
Accurately coding osteoporosis ICD-10-CM diagnosis codes is key to ensuring proper documentation, reimbursement, and patient care continuity.
Whether reporting M81.0 for age-related osteoporosis or M80.x for osteoporosis with fractures, specificity ensures that claims are both clinically valid and financially compliant.
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Let’s simplify coding, improve compliance, and maximize your reimbursement accuracy.
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.
Use M80 when the patient has a fracture due to bone loss and M81 when osteoporosis is present without a current fracture.
Osteoporosis with a current pathological fracture is coded as M80.x, such as M80.0 for age-related osteoporosis with fracture.
Key Z codes include Z13.820 (screening for osteoporosis), Z87.310 (personal history of osteoporosis fracture), and Z82.62 (family history of osteoporosis).
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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