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ICD-10 Guide
ICD-10 CodesM83.1

M83.1

Billable

Senile osteomalacia

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

Code Description

ICD-10 M83.1 is a billable code used to indicate a diagnosis of senile osteomalacia.

Key Diagnostic Point:

Senile osteomalacia is a metabolic bone disorder characterized by the softening of bones due to inadequate mineralization, primarily in older adults. This condition is often associated with vitamin D deficiency, which is crucial for calcium absorption and bone health. As individuals age, their ability to synthesize vitamin D from sunlight decreases, leading to a higher risk of osteomalacia. Clinically, patients may present with bone pain, muscle weakness, and an increased susceptibility to fractures. The condition can lead to significant morbidity, including impaired mobility and increased risk of falls. Diagnosis typically involves a combination of clinical evaluation, laboratory tests to assess vitamin D levels, and imaging studies such as X-rays or bone density scans to evaluate bone health. Treatment focuses on correcting vitamin D deficiency through supplementation and dietary modifications, alongside addressing any underlying conditions that may contribute to poor bone metabolism. Monitoring bone density and regular follow-ups are essential to prevent complications associated with osteomalacia.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between osteomalacia and osteoporosis
  • Understanding the role of vitamin D and calcium metabolism
  • Identifying age-related factors contributing to the condition
  • Interpreting laboratory results and imaging studies

Audit Risk Factors

  • Inadequate documentation of vitamin D levels
  • Failure to document clinical symptoms and patient history
  • Misclassification of osteomalacia as osteoporosis
  • Lack of follow-up documentation on treatment efficacy

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Thorough documentation of metabolic panels, vitamin D levels, and patient history related to bone health.

Common Clinical Scenarios

Patients presenting with unexplained bone pain, fractures, or muscle weakness.

Billing Considerations

Consideration of comorbidities that may affect bone metabolism, such as diabetes or renal disease.

Geriatrics

Documentation Requirements

Detailed assessment of functional status, fall risk, and nutritional status.

Common Clinical Scenarios

Older adults with multiple risk factors for falls and fractures.

Billing Considerations

Focus on multidisciplinary approaches to manage bone health in the elderly.

Coding Guidelines

Inclusion Criteria

Use M83.1 When
  • According to ICD
  • 10 coding guidelines, M83
  • 1 should be used when the condition is specifically diagnosed as senile osteomalacia
  • It is important to document the underlying causes, such as vitamin D deficiency, and any related symptoms

Exclusion Criteria

Do NOT use M83.1 When
  • Exclusion criteria include conditions that cause similar symptoms but are not classified as osteomalacia

Related ICD-10 Codes

Related CPT Codes

80061CPT Code

Lipid panel

Clinical Scenario

Used to assess overall health in patients with osteomalacia.

Documentation Requirements

Document the reason for the lipid panel in relation to bone health.

Specialty Considerations

Endocrinologists may order this panel to evaluate metabolic syndrome in patients with osteomalacia.

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 senile osteomalacia, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation and understanding of metabolic bone disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like senile osteomalacia, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation and understanding of metabolic bone disorders.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the importance of detailed documentation and understanding of metabolic bone disorders.

Resources

Clinical References

  • •
    National Osteoporosis Foundation

Coding & Billing References

  • •
    National Osteoporosis Foundation

Frequently Asked Questions

What is the primary cause of senile osteomalacia?

The primary cause of senile osteomalacia is vitamin D deficiency, which leads to inadequate calcium absorption and poor bone mineralization.

How is senile osteomalacia diagnosed?

Diagnosis typically involves clinical evaluation, laboratory tests for vitamin D and calcium levels, and imaging studies to assess bone health.

What are the treatment options for senile osteomalacia?

Treatment options include vitamin D supplementation, dietary changes to increase calcium intake, and monitoring of bone density.