M80.821 – Other osteoporosis with current pathological fracture, right humerus

ICD-10-CM 2027 diagnosis code · Disorders of bone density and structure

Non-billable header

ICD-10-CM code M80.821

Code: M80.821 (claims format: M80821)
Description: Other osteoporosis with current pathological fracture, right humerus
Short description: Oth osteoporosis w current pathological fracture, r humerus
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 13. Diseases of the musculoskeletal system and connective tissue (M00-M99)
Block: M80-M85 Disorders of bone density and structure
Parent codes: M80 › M80.8 › M80.82

Billable codes under M80.821

M80.821 is a header code and cannot be used on claims. Choose the most specific code:

7th character values

Codes in this category need a 7th character to describe the encounter or episode of care.

Character	Meaning
`A`	initial encounter for fracture
`D`	subsequent encounter for fracture with routine healing
`G`	subsequent encounter for fracture with delayed healing
`K`	subsequent encounter for fracture with nonunion
`P`	subsequent encounter for fracture with malunion
`S`	sequela

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

M80 – Osteoporosis with current pathological fracture

Includes:

osteoporosis with current fragility fracture

Excludes1 (not coded here):

collapsed vertebra NOS (M48.5)
pathological fracture NOS (M84.4)
wedging of vertebra NOS (M48.5)

Excludes2 (not included here):

personal history of (healed) osteoporosis fracture (Z87.310)

Use additional code:

code to identify major osseous defect, if applicable (M89.7-)

7th character note:

The appropriate 7th character is to be added to each code from category M80:

M80.8 – Other osteoporosis with current pathological fracture

Applicable to:

Drug-induced osteoporosis with current pathological fracture
Idiopathic osteoporosis with current pathological fracture
Osteoporosis of disuse with current pathological fracture
Postoophorectomy osteoporosis with current pathological fracture
Postsurgical malabsorption osteoporosis with current pathological fracture
Post-traumatic osteoporosis with current pathological fracture

Use additional code:

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Related codes in M80.82

Frequently asked questions

What is ICD-10 code M80.821?

M80.821 is the ICD-10-CM code for other osteoporosis with current pathological fracture, right humerus, in the block M80-M85 (Disorders of bone density and structure).

Is M80.821 a billable code?

No. M80.821 is a header code with more specific child codes; report one of the billable codes listed above.

What category does M80.821 belong to?

It belongs to category M80 – Osteoporosis with current pathological fracture.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.