M80.00XG ICD-10-CM Code: Age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing

M80.00XG is the ICD-10-CM diagnosis code for age-related osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing. M80.00XG sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering disorders of bone density and structure (m80-m85).

M80.00XG is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

M80.00XG is a billable ICD-10-CM code that can be reported on claims but does not currently contribute to a Medicare Advantage member's RAF score under any CMS risk adjustment model (V28, V24, ESRD, or RxHCC). Coders reviewing M80.00XG should check whether additional documentation would support a more specific child code in the same hierarchy that does map to a payment HCC, capturing the correct specificity is the highest-impact RAF improvement available within accurate coding.