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ICD-10 Guide
ICD-10 CodesM83.2

M83.2

Billable

Adult osteomalacia due to malabsorption

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M83.2 is a billable code used to indicate a diagnosis of adult osteomalacia due to malabsorption.

Key Diagnostic Point:

Adult osteomalacia due to malabsorption is a condition characterized by the softening of bones in adults, primarily caused by inadequate absorption of essential nutrients, particularly vitamin D, calcium, and phosphate. This malabsorption can stem from various gastrointestinal disorders, such as celiac disease, Crohn's disease, or chronic pancreatitis, which impair the body's ability to absorb these critical nutrients. The resultant deficiency leads to impaired bone mineralization, causing symptoms such as bone pain, muscle weakness, and an increased risk of fractures. Patients may present with low bone density, which can be assessed through dual-energy X-ray absorptiometry (DEXA) scans. Osteomalacia differs from osteoporosis, which involves a decrease in bone density without the softening of the bone structure. The management of osteomalacia due to malabsorption typically involves addressing the underlying gastrointestinal condition, along with supplementation of vitamin D and calcium to restore proper bone metabolism and prevent further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of underlying causes of malabsorption.
  • Differentiation from osteoporosis and other bone density disorders.
  • Need for comprehensive documentation of gastrointestinal conditions.
  • Potential for multiple co-morbidities affecting treatment and coding.

Audit Risk Factors

  • Inadequate documentation of malabsorption causes.
  • Failure to document co-existing conditions.
  • Misclassification of osteomalacia as osteoporosis.
  • Lack of evidence for nutritional deficiencies.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed documentation of gastrointestinal disorders contributing to malabsorption, including lab results and imaging studies.

Common Clinical Scenarios

Patients with celiac disease presenting with bone pain and low vitamin D levels.

Billing Considerations

Ensure clear linkage between gastrointestinal conditions and osteomalacia.

Endocrinology

Documentation Requirements

Documentation of metabolic bone disease, including hormone levels and treatment plans.

Common Clinical Scenarios

Patients with vitamin D deficiency presenting with osteomalacia symptoms.

Billing Considerations

Monitor for other endocrine disorders that may affect bone metabolism.

Coding Guidelines

Inclusion Criteria

Use M83.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the underlying malabsorption condition
  • Include relevant lab results and imaging studies to support the diagnosis

Exclusion Criteria

Do NOT use M83.2 When
  • Exclude conditions that do not meet the criteria for osteomalacia due to malabsorption

Related ICD-10 Codes

Related CPT Codes

80061CPT Code

Lipid panel

Clinical Scenario

Used to assess metabolic status in patients with osteomalacia.

Documentation Requirements

Document the rationale for testing and results.

Specialty Considerations

Endocrinologists may order this test to evaluate bone health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like osteomalacia due to malabsorption, improving the accuracy of patient records and facilitating better management of these complex cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like osteomalacia due to malabsorption, improving the accuracy of patient records and facilitating better management of these complex cases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like osteomalacia due to malabsorption, improving the accuracy of patient records and facilitating better management of these complex cases.

Resources

Clinical References

  • •
    Osteomalacia Overview

Coding & Billing References

  • •
    Osteomalacia Overview

Frequently Asked Questions

What are the common causes of adult osteomalacia?

Common causes include malabsorption syndromes such as celiac disease, chronic pancreatitis, and certain medications that affect nutrient absorption.