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M81.6

Billable

Localized osteoporosis [Lequesne]

HCC Category Mapping

RxHCCHCC 87 — Osteoporosis, Vertebral and Pathological Fractures
0.000

What This Code Means

Localized weakening of bones in a specific area of the body, making that region more fragile and prone to breaking.

Coding Tips

  • •Specify the site of localized osteoporosis when documented (vertebra, hip, etc.)
  • •This code is used when osteoporosis is limited to one region rather than generalized

Clinical Significance

Localized osteoporosis represents regional bone density loss in specific anatomical areas, often indicating more complex pathophysiology than generalized osteoporosis. This condition requires targeted evaluation for local factors and may indicate underlying conditions affecting regional bone metabolism.

Documentation Requirements

  • ✓Documentation of localized bone density loss in specific region
  • ✓Clinical or radiographic evidence of regional osteoporosis
  • ✓Specification of anatomical location if documented
  • ✓Exclusion of generalized osteoporosis
  • ✓Assessment of local contributing factors
  • ✓Absence of current pathological fracture
  • ✓Investigation for underlying regional pathology

Excludes 1 — Do NOT code together

Commonly Confused Codes

M810 — Age-related osteoporosis (generalized, not localized)M818 — Other osteoporosis (generalized secondary forms)M89.50 — Osteolysis, unspecified site (bone destruction)M85.80 — Other specified disorders of bone densityM87.9 — Osteonecrosis, unspecified (bone death vs. density loss)

Code Hierarchy

└M81Osteoporosis without current pathological fracture└M81.6Localized osteoporosis [Lequesne]
└M81.6Localized osteoporosis [Lequesne]

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