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ICD-10-CM 2027 diagnosis code

M80.8AXDOther osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing

✓ Billable / specificPOA exemptRequires 7th character

M80.8AXD is a valid, billable ICD-10-CM code for other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Other osteopor with current path fracture, other site, 7thD

Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About M80.8AXD

M80.8AXD is the ICD-10-CM diagnosis code for other osteoporosis with current pathological fracture, other site, subsequent encounter for fracture with routine healing. It belongs to category M80 (osteoporosis with current pathological fracture), block M80-M85 (disorders of bone density and structure) and chapter 13 (diseases of the musculoskeletal system and connective tissue). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter for fracture with routine healing: use it for encounters after active treatment, while the patient is healing or recovering.

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

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 521 (Hip Replacement with Principal Diagnosis of Hip Fracture with MCC, relative weight 2.8515), DRG 522 (Hip Replacement with Principal Diagnosis of Hip Fracture without MCC, relative weight 2.1158), DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC, relative weight 1.8088), DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC, relative weight 1.1238) and DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC, relative weight 0.8258), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2021, effective October 1, 2020.

7th character

Dsubsequent encounter for fracture with routine healing

CC/MCC status for this injury by encounter: CC for A, K, P; Neither CC nor MCC for D, G, S.

Other encounter types for M80.8A:

Notes that apply from higher levels

Instructions written at a parent level also apply to M80.8AXD.

› From M80.8 Other 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)
› From M80 Osteoporosis with current pathological fracture
Includes
  • osteoporosis with current fragility fracture
Excludes1
  • collapsed vertebra NOS (M48.5)
  • pathological fracture NOS (M84.4)
  • wedging of vertebra NOS (M48.5)
Excludes2
  • personal history of (healed) osteoporosis fracture (Z87.310)
Use additional code
  • code to identify major osseous defect, if applicable (M89.7-)

Broader instructions also apply from Chapter 13: Diseases of the musculoskeletal system and connective tissue.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2021 (effective 10/1/2020): Added
  • No changes since FY2021.

Common questions about M80.8AXD

Is M80.8AXD billable?

Yes. M80.8AXD is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of M80.8AXD mean?

It is the 7th character for subsequent encounter for fracture with routine healing. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can M80.8AXD be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict M80.8AXD as a principal diagnosis.

Is M80.8AXD a CC or MCC?

No. M80.8AXD is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does M80.8AXD group to?

M80.8AXD is used in the MS-DRG v44.0 logic for MS-DRG 521 (Hip Replacement with Principal Diagnosis of Hip Fracture with MCC), MS-DRG 522 (Hip Replacement with Principal Diagnosis of Hip Fracture without MCC), MS-DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC), MS-DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC) and MS-DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.