Osteoporosis ICD-10 Codes - Complete 2025 Guide

A Professional discuss about the Osteoporosis with nurse and ICD-10 Codes.

Key Takeaways

  • Osteoporosis ICD-10 codes are divided into M80 (with fracture) and M81 (without fracture).
  • Screening, history, and family history have separate Z codes.
  • Specificity (age-related, postmenopausal, drug-induced) improves coding accuracy.
  • Correct coding ensures better reimbursement and accurate clinical documentation.

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.

What is Osteoporosis?

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:

  • Aging
  • Menopause and hormonal changes
  • Family history of osteoporosis
  • Long-term steroid use

Lifestyle factors (smoking, poor nutrition, low physical activity

ICD-10 Codes for Osteoporosis

Osteoporosis ICD-10 codes fall primarily under the M80–M82 category. The codes differ based on whether a pathological fracture is present.

Osteoporosis without Current Pathological Fracture (M81 Category)

  • M81.0: Age-related osteoporosis without current pathological fracture
  • M81.1: Postmenopausal osteoporosis without current pathological fracture
  • M81.2: Osteoporosis induced by drugs without current pathological fracture
  • M81.3: Idiopathic osteoporosis without current pathological fracture
  • M81.4: Osteoporosis due to endocrine disorders without current pathological fracture
  • M81.5: Osteoporosis secondary to other diseases without current pathological fracture
  • M81.6: Localized osteoporosis without current pathological fracture
  • M81.8: Other osteoporosis without current pathological fracture
  • M81.9: Osteoporosis, unspecified, without current pathological fracture

Osteoporosis With Current Pathological Fracture (M80 Category)

  • M80.0: Age-related osteoporosis with current pathological fracture
  • M80.1: Postmenopausal osteoporosis with current pathological fracture
  • M80.2: Drug-induced osteoporosis with current pathological fracture
  • M80.3: Idiopathic osteoporosis with current pathological fracture
  • M80.4: Osteoporosis due to endocrine disorders with current pathological fracture
  • M80.5: Osteoporosis secondary to other diseases with current pathological fracture
  • M80.8: Other osteoporosis with current pathological fracture
  • M80.9: Osteoporosis, unspecified, with current pathological fracture

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Special ICD-10 Codes for Osteoporosis

  • M82: Osteoporosis in diseases classified elsewhere
  • Z13.820: Encounter for screening for osteoporosis
  • Z87.310: Personal history of (healed) osteoporosis fracture
  • Z82.62: Family history of osteoporosis

ICD-10 for Osteopenia (Related Condition)

  • M85.80 – M85.89: Other specified disorders of bone density and structure (used for osteopenia).

Screening and History Codes

  • Screening for Osteoporosis ICD-10: Z13.820
  • History of Osteoporosis ICD-10: Z87.310
  • Family History of Osteoporosis ICD-10: Z82.62

Coding Tips for Osteoporosis ICD-10

  • Always document whether the patient has a current fracture (M80) or no fracture (M81).
  • Use the most specific code available (e.g., postmenopausal, drug-induced, senile).
  • For fractures, additional fracture site codes may be required.
  • For screenings, use Z13.820 rather than M80 or M81.

Final Thoughts

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.

Need expert help with osteoporosis ICD-10 coding and claims? Partner with Cures Medical Billing to minimize denials and ensure faster reimbursements.

Frequently Asked Questions (FAQs)

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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