M83.4 Aluminum bone disease

Billable ICD-10-CM code, FY2026.

Applies from M83 Adult osteomalacia

Excludes1 (never code together)

• infantile and juvenile osteomalacia (E55.0)
• renal osteodystrophy (N25.0)
• rickets (active) (E55.0)
• rickets (active) sequelae (E64.3)
• vitamin D-resistant osteomalacia (E83.31)
• vitamin D-resistant rickets (active) (E83.31)

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)

• 268.2 Osteomalacia, unspecified (approximate)

Code annotations containing back-references to M83.4

Back-references to M83

• Type 1 Excludes: E21 Hyperparathyroidism and other disorders of parathyroid gland ("adult osteomalacia (M83.-)")
• Type 1 Excludes: E55 Vitamin D deficiency ("adult osteomalacia (M83.-)")
• Type 1 Excludes: E83.3 Disorders of phosphorus metabolism and phosphatases ("adult osteomalacia (M83.-)")

Diagnosis Index entries for M83.4

• Disease, diseased › bone › aluminum
• Osteomalacia › aluminium-induced

Nearby codes

• M83 Adult osteomalacia
• M83.0 Puerperal osteomalacia
• M83.1 Senile osteomalacia
• M83.2 Adult osteomalacia due to malabsorption
• M83.3 Adult osteomalacia due to malnutrition
• M83.4 Aluminum bone disease (this code)
• M83.5 Other drug-induced osteomalacia in adults
• M83.8 Other adult osteomalacia
• M83.9 Adult osteomalacia, unspecified