Osteoporosis ICD-10 Codes - A Medical Coding Specialist’s 2025 Guide

M81.0 – Age-Related Osteoporosis without Fracture

• When to Use: For patients with osteoporosis linked to aging, no current fracture.
• Common Mistake: Confusing with M80.0 (osteoporosis with fracture).

M80.0 – Osteoporosis with Fracture, Unspecified Site

• When to Use: For fragility fractures (e.g., wrist, hip) without site specificity.
• Documentation Tip: Include fracture location if known (e.g., M80.08A for lumbar spine).

M80.8 – Other Osteoporosis with Fracture

• When to Use: For fractures from secondary causes (e.g., steroid-induced).
• Example: M80.8 + M85.8 for steroid-induced osteoporosis with vertebral fracture.

Z13.820 – Encounter for Osteoporosis Screening

• When to Use: Routine DEXA scans for at-risk patients (e.g., postmenopausal women).
• Medicare Rule: Covered every 24 months for eligible beneficiaries.

M85.8 – Other Specified Disorders of Bone Density

• Once to Use: Osteopenia (low bone mass, not yet osteoporosis).
• Key Detail: Link to risk factors (e.g., Z79.83 for long-term steroid use).
• 8 – Other Osteoporosis Without Fracture
• 310 – Personal History of Osteoporosis
• 02 – Osteoporosis with Lumbar Fracture
• 06 – Osteoporosis with Femoral Neck Fracture
• A1 – Postmenopausal Osteoporosis