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Home/Diagnosis/ICD-10 Coding for Arthritis of the Hip

ICD-10 Coding for Arthritis of the Hip

M16.0
M16.1
M16.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for arthritis of the hip includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hip Osteoarthritis
Degenerative Joint Disease of the Hip
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Key Information: ICD-10 Coding for Arthritis of the Hip

Essential facts and insights about ICD-10 Coding for Arthritis of the Hip

Use ICD-10 code M16.0 for bilateral primary osteoarthritis of hip, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Bilateral primary osteoarthritis of hip

Billable Code
M16.0
Billable

Diagnostic Criteria

  • • Radiographic evidence of joint space narrowing
  • • Presence of osteophytes
  • • Subchondral sclerosis

Applicable To

  • • Primary OA affecting both hips

Important Notes

  • • Ensure bilateral involvement is documented.

Unilateral primary osteoarthritis of hip

Non-Billable
M16.1
Non-Billable

Diagnostic Criteria

  • • Radiographic evidence of joint space narrowing
  • • Presence of osteophytes
  • • Subchondral sclerosis

Applicable To

  • • Primary OA affecting one hip

Important Notes

  • • Ensure unilateral involvement is documented.

Bilateral osteoarthritis resulting from hip dysplasia

Billable Code
M16.2
Billable

Diagnostic Criteria

  • • Radiographic evidence of dysplasia
  • • Joint space narrowing
  • • Osteophytes

Applicable To

  • • OA due to developmental dysplasia of the hip

Important Notes

  • • Document dysplasia as the cause.
Ancillary Codes

Additional codes that may be used with this diagnosis

M81.0

Osteoporosis without current pathological fracture

Used as an ancillary code for secondary osteoarthritis due to osteoporosis.

Frequently Asked Questions

What is the ICD-10 code for bilateral primary osteoarthritis of the hip?

The ICD-10 code for bilateral primary osteoarthritis of the hip is M16.0. It is used when both hips are affected without underlying conditions.

How do you code secondary osteoarthritis of the hip?

For secondary osteoarthritis of the hip, use M16.2-M16.7 based on laterality and etiology, with an additional code for the underlying condition.

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