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ICD-10-CM · FY 2026 APRIL UPDATE

M80.81

Other osteoporosis with pathological fracture, shoulder

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
M80.811Other osteoporosis with current pathological fracture, right shoulderCategory
M80.811AOther osteoporosis with current pathological fracture, right shoulder, initial encounter for fractureBillable
M80.811DOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with routine healingBillable
M80.811GOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with delayed healingBillable
M80.811KOther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with nonunionBillable
M80.811POther osteoporosis with current pathological fracture, right shoulder, subsequent encounter for fracture with malunionBillable
M80.811SOther osteoporosis with current pathological fracture, right shoulder, sequelaBillable
M80.812Other osteoporosis with current pathological fracture, left shoulderCategory
M80.812AOther osteoporosis with current pathological fracture, left shoulder, initial encounter for fractureBillable
M80.812DOther osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with routine healingBillable
M80.812GOther osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with delayed healingBillable
M80.812KOther osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with nonunionBillable
M80.812POther osteoporosis with current pathological fracture, left shoulder, subsequent encounter for fracture with malunionBillable
M80.812SOther osteoporosis with current pathological fracture, left shoulder, sequelaBillable
M80.819Other osteoporosis with current pathological fracture, unspecified shoulderCategory
M80.819AOther osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fractureBillable
M80.819DOther osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with routine healingBillable
M80.819GOther osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with delayed healingBillable
M80.819KOther osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with nonunionBillable
M80.819POther osteoporosis with current pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunionBillable
M80.819SOther osteoporosis with current pathological fracture, unspecified shoulder, sequelaBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

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ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.