M83.0

Billable

Puerperal osteomalacia

HCC Category Mapping

RxHCCHCC 87 — Osteoporosis, Vertebral and Pathological Fractures

0.000

What This Code Means

Softening of bones that occurs in women during or after pregnancy due to vitamin D deficiency or calcium loss.

Coding Tips

•This code is specific to the postpartum or pregnancy period; document the timing clearly
•Often associated with inadequate calcium intake or vitamin D deficiency during pregnancy

Clinical Significance

Puerperal osteomalacia represents bone softening during or after pregnancy due to calcium/vitamin D deficiency, indicating severe maternal nutritional depletion with potential for fractures and ongoing bone health issues. This condition requires immediate nutritional intervention and long-term bone health monitoring.

Documentation Requirements

✓Documentation of osteomalacia during pregnancy or postpartum period
✓Clinical or radiographic evidence of bone softening
✓Laboratory evidence of calcium/vitamin D deficiency when available
✓Temporal relationship to pregnancy or breastfeeding
✓Assessment of nutritional status and intake
✓Treatment with calcium and vitamin D supplementation
✓Exclusion of other causes of osteomalacia

Commonly Confused Codes

M831 — Senile osteomalacia (elderly patients, not pregnancy-related)M810 — Age-related osteoporosis (density loss vs. bone softening)O26.89 — Other specified pregnancy-related conditions E83.40 — Disorders of magnesium metabolism E55.9 — Vitamin D deficiency, unspecified

Code Hierarchy

└M83Adult osteomalacia └M83.0Puerperal osteomalacia

└M83.0Puerperal osteomalacia