ICD-10 M80.0B1
Non-Billable HeaderAge-related osteoporosis with current pathological fracture, right pelvis
About ICD-10-CM M80.0B1
ICD-10-CM code M80.0B1 represents Age-related osteoporosis with current pathological fracture, right pelvis. This is a non-billable header code in the Musculoskeletal and Connective Tissue chapter (block M80). The 2026 edition of ICD-10-CM M80.0B1 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for M80.0B1
Local Coverage Determinations (LCDs) from CMS MACs that list M80.0B1 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M80.0B1.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M80.0B1 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M80.0B1
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To M80.0B1
Other codes in section M80-M85 (Disorders of bone density and structure).
ICD-10 M80.0B1, Billing FAQ
Is ICD-10 code M80.0B1 billable? +
No, M80.0B1 is a non-billable header code. Use a more specific child code from block M80 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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