ICD-10 M81.0: Osteoporosis Diagnosis Code Guide

Billable/ Specific Code:

M81.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

ICD-10 Code M81.0, which pertains to age-related osteoporosis without current pathological fracture. Nexus Clinical provides detailed insights on M81.0 diagnosis codes, guidelines for ICD-10 M81.0 coding, and essential information for diagnosing and treating osteoporosis. Learn everything you need to know about M81.0 diagnosis and related coding standards with Nexus Clinical.

Applicable To:

• Involutional osteoporosis without current pathological fracture
• Osteoporosis NOS
• Postmenopausal osteoporosis without current pathological fracture
• Senile osteoporosis without current pathological fracture

Approximate Synonyms:

• Age related osteoporosis
• Osteoporosis
• Osteoporosis (significant thinning of bone)
• Osteoporosis, postmenopausal
• Osteoporosis, senile
• Pathologic osteoporosis
• Postmenopausal osteoporosis
• Senile osteoporosis

Clinical Information

• A condition of reduced bone mass, with decreased cortical thickness and a decrease in the number and size of the trabeculae of cancellous bone (but normal chemical composition), resulting in increased fracture incidence. Osteoporosis is classified as primary (type 1, postmenopausal osteoporosis; type 2, age-associated osteoporosis; and idiopathic, which can affect juveniles, premenopausal women, and middle-aged men) and secondary osteoporosis (which results from an identifiable cause of bone mass loss).
• A condition that is marked by a decrease in bone mass and density, causing bones to become fragile.
• A disorder characterized by reduced bone mass, with a decrease in cortical thickness and in the number and size of the trabeculae of cancellous bone (but normal chemical composition), resulting in increased fracture incidence.
• Loss of bone mass and strength due to nutritional, metabolic, or other factors, usually resulting in deformity or fracture; a major public health problem of the elderly, especially women.
• Metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm. It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency.
• Osteoporosis makes your bones weak and more likely to break. Anyone can develop osteoporosis, but it is common in older women. As many as half of all women and a quarter of men older than 50 will break a bone due to osteoporosis. risk factors include
  • getting older
  • being small and thin
  • having a family history of osteoporosis
  • taking certain medicines
  • being a white or asian woman
  • having osteopenia, which is low bone density

  osteoporosis is a silent disease. You might not know you have it until you break a bone. A bone mineral density test is the best way to check your bone health. To keep bones strong, eat a diet rich in calcium and vitamin d, exercise and do not smoke. If needed, medicines can also help. nih: national institute of arthritis and musculoskeletal and skin diseases

• Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (osteoporosis, postmenopausal) and age-related or senile osteoporosis.

Related Specialties:

• Orthopedic

ICD-10: A Brief Synopsis

For disease reporting, the US utilizes its own national variant of ICD-10 called the ICD-10 Clinical Modification (ICD-10-CM). A procedural classification called ICD-10 Procedure Coding System (ICD-10-PCS) has also been developed for capturing inpatient procedures. The ICD-10-CM and ICD-10-PCS were developed by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS). There are over 70,000 ICD-10-PCS procedure codes and over 69,000 ICD-10-CM diagnosis codes, compared to about 3,800 procedure codes and roughly 14,000 diagnosis codes found in the previous ICD-9-CM.

The expansion of healthcare delivery systems and changes in global health trends prompted a need for codes with improved clinical accuracy and specificity. The alphanumeric coding in ICD-10 is an improvement from ICD-9 which had a limited number of codes and a restrictive structure. Early concerns in the implementation of ICD-10 included the cost and the availability of resources for training healthcare workers and professional coders.

There was much controversy when the transition from the ICD-9-CM to the ICD-10-CM was first announced in the US. Many providers were concerned about the vast number of codes being added, the complexity of the new coding system, and the costs associated with the transition. The Centers for Medicare and Medicaid Services (CMS) weighed these concerns against the benefits of having more accurate data collection, clearer documentation of diagnoses and procedures, and more accurate claims processing. CMS decided the financial and public health cost associated with continuing to use the ICD-9-CM was too high and mandated the switch to ICD-10-CM.