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ICD-10-CM 2027 diagnosis code

M80.8AXSOther osteoporosis with current pathological fracture, other site, sequela

✓ Billable / specificPOA exemptRequires 7th character

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

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 M80.8AXS

M80.8AXS is the ICD-10-CM diagnosis code for other osteoporosis with current pathological fracture, other site, sequela. 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 "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.

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 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

Ssequela

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 M80.8AXS.

› 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 M80.8AXS

Is M80.8AXS billable?

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

What does the "S" at the end of M80.8AXS mean?

It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.

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

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

Is M80.8AXS a CC or MCC?

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

What DRG does M80.8AXS group to?

M80.8AXS is used in the MS-DRG v44.0 logic for 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.