M81.0 Age-related osteoporosis without current pathological fracture

Billable ICD-10-CM code, FY2026.

Applicable to

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

Applies from M81 Osteoporosis without current pathological fracture

Excludes1 (never code together)

• osteoporosis with current pathological fracture (M80.-)
• Sudeck's atrophy (M89.0)

Use additional code

• code to identify:
• major osseous defect, if applicable (M89.7-)
• personal history of (healed) osteoporosis fracture, if applicable (Z87.310)

Risk adjustment (HCC)

• RxHCC V08: HCC 87 — Osteoporosis, Vertebral and Pathological Fractures

MS-DRG index

Defines the logic of DRG(s) 553-554 in MDC 08.

Approximate ICD-9-CM (GEMs)

• 733.00 Osteoporosis, unspecified (approximate)
• 733.01 Senile osteoporosis

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.

Code annotations containing back-references to M81.0

Back-references to M81.0

• Type 2 Excludes: N95 Menopausal and other perimenopausal disorders ("postmenopausal osteoporosis (M81.0-)")

Back-references to M81

• Code First: M89.7 Major osseous defect ("osteoporosis (M80.-, M81.-)")
• Type 1 Excludes: R29.890 Loss of height ("osteoporosis (M80-M81)")

Diagnosis Index entries for M81.0

• Osteoporosis (female) (male)
• Osteoporosis (female) (male) › age-related
• Osteoporosis (female) (male) › postmenopausal

Nearby codes

• M81 Osteoporosis without current pathological fracture
• M81.0 Age-related osteoporosis without current pathological fracture (this code)
• M81.6 Localized osteoporosis [Lequesne]
• M81.8 Other osteoporosis without current pathological fracture