ICD-10-CM Billable Code

M80.82

Other osteoporosis with current pathological fracture, humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code M80.82 refers to a specific diagnosis of osteoporosis that has led to a pathological fracture in the humerus, the bone of the upper arm. Osteoporosis is a condition characterized by weakened bones, making them more susceptible to fractures. When such fractures occur without significant trauma, especially in individuals with underlying osteoporosis, they are classified as pathological fractures. This particular code helps healthcare providers document and manage cases where osteoporosis has resulted in a fracture of the humerus, often due to bone fragility associated with the disease.

Causes & Symptoms

Clinical Causes: Progressive loss of bone density associated with osteoporosis Aging, especially in postmenopausal women Long-term use of corticosteroid or other medications that weaken bones Nutritional deficiencies such as insufficient calcium or vitamin D intake Underlying health conditions like rheumatoid arthritis or hormonal disorders Chronic illnesses that impact bone health, including certain cancers Sedentary lifestyle leading to decreased mechanical stress on bones

Key Symptoms: Pain or tenderness in the upper arm or shoulder area Swelling and tenderness at the fracture site Limited movement or difficulty moving the arm Deformity or abnormal positioning of the humerus Reduced strength in the affected arm Possible numbness or tingling if nerves are affected In cases of multiple fractures, generalized weakness

Diagnostic & Treatment

Diagnosis Path: X-rays to visualize the fracture and assess bone quality Bone mineral density tests, such as DEXA scans, to evaluate osteoporosis severity Blood tests to identify underlying causes of osteoporosis or other related conditions Additional imaging, like MRI or CT scans, if complex fractures or soft tissue injury are suspected

Treatment Protocols: Immobilization of the affected arm with a cast or brace to stabilize the fracture Pain management using medications appropriate for fracture pain relief Surgical interventions, such as internal fixation with plates and screws, in cases of unstable fractures Pharmacological therapies to improve bone density, including bisphosphonates, hormone therapy, or other osteoporosis medications Physical therapy to restore function and strength after the fracture has healed Lifestyle modifications such as weight-bearing exercises, adequate calcium and vitamin D intake, and avoiding smoking or excessive alcohol consumption Monitoring bone health regularly to prevent future fractures

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M80.82 a billable ICD-10 code?
Yes, M80.82 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M80.82?
Clinical documentation must specify the nature of Other osteoporosis with current pathological fracture, humerus and any associated comorbidities for accurate reporting.

Cite this Clinical Reference