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M81.0

Age-related osteoporosis without current pathological fracture

Diseases of the musculoskeletal system and connective tissue Billable
Quick Reference
Low bone density (T-score ≤ -2.5) on DEXA scan without current fracture

Clinical Information

When to Use This Code

Low bone density (T-score ≤ -2.5) on DEXA scan without current fracture

Common Clinical Scenarios

  • Osteoporosis screening in postmenopausal women
  • Bisphosphonate therapy initiation
  • Fracture risk assessment
  • Bone density monitoring

Documentation Requirements

  • Document DEXA scan T-score and Z-score
  • Record fragility fracture history
  • Note calcium and vitamin D supplementation
  • Specify medication therapy (bisphosphonate, denosumab, etc.)

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Postmenopausal osteoporosisSenile osteoporosisAge-related osteoporosis

Exclusion Terms

Do NOT use this code for:

  • Osteoporosis with current fracture (M80.-)
  • Drug-induced osteoporosis (M81.4)
  • Osteopenia (T-score -1.0 to -2.5)

Coding Notes

Use M80.- codes when current pathological fracture present
Screen all women ≥65 and men ≥70
FRAX score guides treatment decisions

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Code Details

Code
M81.0
Category
Diseases of the musculoskeletal system and connective tissue
Billable Status
Billable

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