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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M81.0

Billable / Specific

Age-related osteoporosis without current pathological fracture

M81
Block
4
Synonyms
66
LCDs
20
Payer Policies
0
Linked CPTs

About ICD-10-CM M81.0

ICD-10-CM code M81.0 represents Age-related osteoporosis without current pathological fracture. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M81). The 2026 edition of ICD-10-CM M81.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under M81.0. Per CMS ICD-10-CM Tabular 2026.

  • Involutional osteoporosis without current pathological fracture
  • Osteoporosis NOS
  • Postmenopausal osteoporosis without current pathological fracture
  • Senile osteoporosis without current pathological fracture

Medicare LCD Coverage for M81.0

Local Coverage Determinations (LCDs) from CMS MACs that list M81.0 as a covered diagnosis.

66 LCDs

Showing top 10 of 66 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82652 →
CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT Q9953 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72148 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT A9585 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72158 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72149 →
CMS LCD: Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Article ID: 56841, Effective: 2023-10-01 00:00:00, 759 covered, 1 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Ibandronate Sodium
Article ID: 52421, Effective: 2023-10-01 00:00:00, 254 covered, 0 non-covered
CPT J1740 →
CMS LCD: Billing and Coding: Assays for Vitamins and Metabolic Function
Article ID: 56416, Effective: 2025-10-01 00:00:00, 899 covered, 1 non-covered
CPT 82306 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M81.0.

20 policies

3 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009
Back Pain - Invasive Procedures - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0016
Bone Mass Measurements
Policy ID: CPB-0134

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Denosumab (Prolia�, Xgeva�, Jubbonti�, Wyost�, Ospomyv�,Xbryk�,Bomyntra�, Conexxence�, Stoboclo�, Osenvelt�,Bildyos�, Bilprevda�)
Policy ID: ART-52399
Billing and Coding: Ibandronate Sodium
Policy ID: ART-52421
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: Vitamin D Assay Testing
Policy ID: ART-56798
Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Policy ID: ART-56841

CPT Codes Commonly Billed with M81.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for M81.0

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.

Convert M81.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M81.0 73300 10000
M81.0 73301 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To M81.0

Other codes in section M80-M85 (Disorders of bone density and structure).

M80 Osteoporosis with current pathological fracture (non-billable) M80.0 Age-related osteoporosis with current pathological fracture (non-billable) M80.00 Age-related osteoporosis with current pathological fracture, unspecified site (non-billable) M80.01 Age-related osteoporosis with current pathological fracture, shoulder (non-billable) M80.011 Age-related osteoporosis with current pathological fracture, right shoulder (non-billable) M80.012 Age-related osteoporosis with current pathological fracture, left shoulder (non-billable) M80.019 Age-related osteoporosis with current pathological fracture, unspecified shoulder (non-billable) M80.02 Age-related osteoporosis with current pathological fracture, humerus (non-billable) M80.021 Age-related osteoporosis with current pathological fracture, right humerus (non-billable) M80.022 Age-related osteoporosis with current pathological fracture, left humerus (non-billable) M80.029 Age-related osteoporosis with current pathological fracture, unspecified humerus (non-billable) M80.03 Age-related osteoporosis with current pathological fracture, forearm (non-billable) M80.031 Age-related osteoporosis with current pathological fracture, right forearm (non-billable) M80.032 Age-related osteoporosis with current pathological fracture, left forearm (non-billable) M80.039 Age-related osteoporosis with current pathological fracture, unspecified forearm (non-billable) M80.04 Age-related osteoporosis with current pathological fracture, hand (non-billable) M80.041 Age-related osteoporosis with current pathological fracture, right hand (non-billable) M80.042 Age-related osteoporosis with current pathological fracture, left hand (non-billable) M80.049 Age-related osteoporosis with current pathological fracture, unspecified hand (non-billable) M80.05 Age-related osteoporosis with current pathological fracture, femur (non-billable)

ICD-10 M81.0, Billing FAQ

Is ICD-10 code M81.0 billable? +

Yes, M81.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to M81.0? +

ICD-10 M81.0 includes: Involutional osteoporosis without current pathological fracture; Osteoporosis NOS; Postmenopausal osteoporosis without current pathological fracture, and 1 more clinical synonyms.

What ICD-9 codes does M81.0 map to? +

Per CMS GEMs, M81.0 maps to ICD-9 codes: 73300, 73301. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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